Provider Demographics
NPI:1932479383
Name:SIVLEY AND TOOGOOD, D.D.S.
Entity Type:Organization
Organization Name:SIVLEY AND TOOGOOD, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:SIVLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:325-692-1580
Mailing Address - Street 1:3409 S 14TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-4956
Mailing Address - Country:US
Mailing Address - Phone:325-692-1580
Mailing Address - Fax:325-692-4865
Practice Address - Street 1:3409 S 14TH ST STE 110
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-4956
Practice Address - Country:US
Practice Address - Phone:325-692-1580
Practice Address - Fax:325-692-4865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138111223G0001X
TX231151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty