Individual
JACOB SYLVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16103 W 135TH ST, OLATHE, KS 66062-1516
(913) 829-9222
Mailing address
16103 W 135TH ST, OLATHE, KS 66062-1516
(913) 829-9222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60610
KS
1223G0001X
General Practice Dentistry
2006024257
MO
Other
Enumeration date
07/24/2007
Last updated
01/07/2009
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