Stevon Ronald Sykes

Primary specialty

DentistTaxonomy code 122300000X

License

2901022456 Issued in MI

Practice address

USA Dental Health Activity
BLDG 38801, Suite B&C
Ft Gordon, GA 30905-5660

Phone

(706) 787-6927

Fax

(706) 787-2082

NPI assigned

Nov 8, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ann Arbor Smiles Haddock PLLC

  • Dentist
  • Ann Arbor, MI
  • NPI 1922506674
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1013420462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CRANE CREEK DR APT 1021",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073666",
            "telephone_number": "810-531-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA DENTAL HEALTH ACTIVITY",
            "address_2": "BLDG 38801, SUITE B&C",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "309055660",
            "telephone_number": "706-787-6927",
            "fax_number": "706-787-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "STEVON",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSURE",
            "identifier": "2901022456",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Allan Sutton, M.D.
• Zachary Sutton, D.O.
• Joseph Scott Swanstrom, LICSW
• William Joseph Sweeney
• Ryan Dale Swiss, DDS
• Elizabeth Michelle Sylvester, RN
• Nathan David Tavolieri, PA-C
• Ronald B. Terry, DMD
• Genver Thomas, ARNP
• William Akins Thomas Jr., M.D.

• Dentist in Ft Gordon, GA
• Providers in Ft Gordon, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.