Provider Demographics
NPI:1154909596
Name:QUINLAN, SYDNEY (DDS)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:
Last Name:QUINLAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SYDNEY
Other - Middle Name:
Other - Last Name:TOMLINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 1182
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:MT
Mailing Address - Zip Code:59327-1182
Mailing Address - Country:US
Mailing Address - Phone:480-273-1059
Mailing Address - Fax:
Practice Address - Street 1:6611 DEBARR RD STE 100
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-1796
Practice Address - Country:US
Practice Address - Phone:907-337-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12337289-9922122300000X
AK2431921223G0001X
390200000X
MT285141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program