Individual
DR. STEVON RONALD SYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
USA DENTAL HEALTH ACTIVITY, BLDG 38801, SUITE B&C, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Mailing address
680 CRANE CREEK DR APT 1021, AUGUSTA, GA 30907-3666
(810) 531-3253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022456
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901022456
MI LICENSURE
MI
Enumeration date
11/08/2017
Last updated
11/08/2017
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