Provider Demographics
NPI:1952674426
Name:SINCLAIR, KRISTEN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:E
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KRISTEN
Other - Middle Name:E
Other - Last Name:BABICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 E LANGLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-4414
Mailing Address - Country:US
Mailing Address - Phone:210-658-9031
Mailing Address - Fax:
Practice Address - Street 1:117 E LANGLEY BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-4414
Practice Address - Country:US
Practice Address - Phone:210-658-9031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-14
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX275541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice