Provider Demographics
NPI:1932297728
Name:SYKES, NORMAN JOSEPH JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:JOSEPH
Last Name:SYKES
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 N WENDOVER RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1064
Mailing Address - Country:US
Mailing Address - Phone:704-365-6811
Mailing Address - Fax:704-365-6791
Practice Address - Street 1:475 N WENDOVER RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1064
Practice Address - Country:US
Practice Address - Phone:704-365-6811
Practice Address - Fax:704-365-6791
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC58811223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0607284OtherAETNA
1221371OtherUNITED HEALTHCARE
7042525OtherCIGNA
NC01083OtherBLUE CROSS BLUE SHIELD
19580OtherWELLPATH
565362OtherUNITED CONCORDIA
NC8998237Medicaid
NC8998237Medicaid
NC2414812BMedicare ID - Type Unspecified
NC8998237Medicaid