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Contact Information

GREGORY S SIKORA, D.M.D., M.B.A.
STATE HWY 264
MILE MARKER 388
POLACCA, AZ86042
 Phone: 928-737-6165
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Dentist Anesthesiologist

1223D0004X
Indicates primary specialty

NPI Profile & details for GREGORY S SIKORA · (Male)

NPI Number 1164676235
Status Active
Credentials D.M.D., M.B.A.
Entity Individual
Enumeration date 11/15/2008
Last updated 02/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # D7680
  • AZ License # D7680 13011379-M
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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