Individual
TIFFANY SYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13730 MILLERVILLE GREENS BLVD # 1, BATON ROUGE, LA 70816-1696
(225) 800-3438
Mailing address
546 NORTHSHORE DR, TUSCALOOSA, AL 35406-2065
(205) 242-9118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6942
LA
1223G0001X
General Practice Dentistry
Primary
6942
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2017
Last updated
02/24/2021
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