Provider Demographics
NPI:1134358047
Name:CONNOR, CYNTHIA GARCIA (DDS)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:GARCIA
Last Name:CONNOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:DENISE
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:4536 TIMBERLOCH DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-8959
Mailing Address - Country:US
Mailing Address - Phone:850-339-4658
Mailing Address - Fax:
Practice Address - Street 1:912 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32310-4348
Practice Address - Country:US
Practice Address - Phone:850-404-6450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX248031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice