Provider Demographics
NPI:1427657683
Name:SAIKALY, TANYA SIHAM (DMD)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:SIHAM
Last Name:SAIKALY
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 ROYAL COUNTY DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-1042
Mailing Address - Country:US
Mailing Address - Phone:904-208-1596
Mailing Address - Fax:
Practice Address - Street 1:1584 KINGSLEY AVE STE A
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4515
Practice Address - Country:US
Practice Address - Phone:904-269-1303
Practice Address - Fax:904-269-1430
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDN6822-C11223G0001X
FLDN254881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty