Provider Demographics
NPI:1154183739
Name:JAMES SIKES DMD MD AND CAROLINE GARCIA DDS MD LLC
Entity type:Organization
Organization Name:JAMES SIKES DMD MD AND CAROLINE GARCIA DDS MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:SIKES
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MD
Authorized Official - Phone:318-560-3339
Mailing Address - Street 1:6912 FERN LOOP STE A
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-4176
Mailing Address - Country:US
Mailing Address - Phone:318-585-7667
Mailing Address - Fax:318-585-6912
Practice Address - Street 1:6912 FERN LOOP STE A
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-4176
Practice Address - Country:US
Practice Address - Phone:318-585-7667
Practice Address - Fax:318-585-6912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental