Provider Demographics
NPI:1699067199
Name:KIRKMAN, SENGUL (RDH)
Entity type:Individual
Prefix:
First Name:SENGUL
Middle Name:
Last Name:KIRKMAN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 CRATE CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-4740
Mailing Address - Country:US
Mailing Address - Phone:757-898-3558
Mailing Address - Fax:
Practice Address - Street 1:1 U.S. COAST GUARD
Practice Address - Street 2:U.S. COAST GUARD TRAINING CENTER YORKTOWN
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23690-5001
Practice Address - Country:US
Practice Address - Phone:757-856-2230
Practice Address - Fax:757-856-2276
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0402001884124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist