Michael J. Sycamore, DDS

General Practice Dentistry · Simi Valley, CA

Individual Active NPI

NPI number 1417184912

Practice location

1189 Roadrunner Way
Simi Valley, CA 93065-3159

Phone: (805) 791-2944

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NPI record

NPI: 1417184912
Entity type: Individual (Type 1)
Enumeration date: June 11, 2009
Last updated: May 31, 2013
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	59942	CA

About Dr. Sycamore

Michael J. Sycamore, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1189 Roadrunner Way, Simi Valley, CA 93065-3159. The NPI number 1417184912 was assigned on June 11, 2009 and the record was last updated on May 31, 2013.

Dr. Sycamore lists a license in the registry: #59942 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael J. Sycamore, DDS?

The NPI number is 1417184912.

What is the phone number of Dr. Sycamore?

The phone number listed for the practice location is (805) 791-2944.

Where is Dr. Sycamore located?

1189 Roadrunner Way, Simi Valley, CA 93065-3159.

What is the taxonomy code for Dr. Sycamore?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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