Provider Demographics
NPI:1548420730
Name:SINTEK, CHARLES ALAN (DDS)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:ALAN
Last Name:SINTEK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-3684
Mailing Address - Country:US
Mailing Address - Phone:402-371-0845
Mailing Address - Fax:
Practice Address - Street 1:1300 NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3684
Practice Address - Country:US
Practice Address - Phone:402-371-0845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NENE 5502122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist