Provider Demographics
NPI:1962286674
Name:JOHN L. SINCLAIR JR. DDS, PC
Entity type:Organization
Organization Name:JOHN L. SINCLAIR JR. DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-344-2652
Mailing Address - Street 1:1900 WHITES RD STE 4
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-2872
Mailing Address - Country:US
Mailing Address - Phone:269-344-2652
Mailing Address - Fax:269-344-8002
Practice Address - Street 1:1900 WHITES RD STE 4
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-2872
Practice Address - Country:US
Practice Address - Phone:269-344-2652
Practice Address - Fax:269-344-8002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty