Provider Demographics
NPI:1346560893
Name:SIKES, CHRISTY LYNN (DMD)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LYNN
Last Name:SIKES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 WALTONS PASS
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-5259
Mailing Address - Country:US
Mailing Address - Phone:706-228-3644
Mailing Address - Fax:
Practice Address - Street 1:1000 CLYBURN PLACE
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801
Practice Address - Country:US
Practice Address - Phone:803-380-7000
Practice Address - Fax:703-593-2185
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0140801223G0001X
SC70671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice