Provider Demographics
NPI:1568577237
Name:SIKKA DENTAL CORP
Entity Type:Organization
Organization Name:SIKKA DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NIDHI
Authorized Official - Middle Name:DIGVIJAY
Authorized Official - Last Name:SIKKA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-259-1280
Mailing Address - Street 1:150 N JACKSON AVE
Mailing Address - Street 2:STE 203
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116
Mailing Address - Country:US
Mailing Address - Phone:408-259-1280
Mailing Address - Fax:408-926-1422
Practice Address - Street 1:150 N JACKSON AVE
Practice Address - Street 2:STE 203
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116
Practice Address - Country:US
Practice Address - Phone:408-259-1280
Practice Address - Fax:408-926-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43859122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty