Provider Demographics
NPI:1336236348
Name:SIKORA, DAVID FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FRANK
Last Name:SIKORA
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 1:501 HALLMARK DR
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320-8649
Mailing Address - Country:US
Mailing Address - Phone:937-456-7123
Mailing Address - Fax:
Practice Address - Street 1:501 HALLMARK DR
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-8649
Practice Address - Country:US
Practice Address - Phone:937-456-7123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300167981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice