Provider Demographics
NPI:1013222538
Name:SYKANDER, AHMED ASHYK (DDS)
Entity Type:Individual
Prefix:
First Name:AHMED ASHYK
Middle Name:
Last Name:SYKANDER
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 1:14642 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-2119
Mailing Address - Country:US
Mailing Address - Phone:703-754-7110
Mailing Address - Fax:703-754-7705
Practice Address - Street 1:14642 LEE HWY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-2119
Practice Address - Country:US
Practice Address - Phone:703-754-7110
Practice Address - Fax:703-754-7705
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60136990122300000X
VA0401415098122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist