Provider Demographics
NPI:1245248392
Name:CHILDS, JANET SIERRA (DDS)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:SIERRA
Last Name:CHILDS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BANYAN BLVD
Mailing Address - Street 2:200
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5128
Mailing Address - Country:US
Mailing Address - Phone:239-262-8200
Mailing Address - Fax:239-262-8616
Practice Address - Street 1:225 BANYAN BLVD
Practice Address - Street 2:200
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5128
Practice Address - Country:US
Practice Address - Phone:239-262-8200
Practice Address - Fax:239-262-8616
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 0137731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice