Provider Demographics
NPI:1528273703
Name:SYKES, DANIEL P (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:P
Last Name:SYKES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 GULF TO BAY BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3752
Mailing Address - Country:US
Mailing Address - Phone:727-443-0844
Mailing Address - Fax:
Practice Address - Street 1:23680 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1571
Practice Address - Country:US
Practice Address - Phone:727-799-1010
Practice Address - Fax:727-799-6909
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL170301223G0001X
FLDN170301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice