Sidhom, Fady

Sidhom, Fady is an individual health care provider with primary practice located at 567 Southbridge St Ste 7 , Auburn MA 01501-2256. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Sidhom, Fady can be contacted via phone (508) 319-1480.

Contact Information

Primary practice address
567 Southbridge St Ste 7 Auburn MA 01501-2256
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02769200 New Jersey
Dental Providers / General Practice 1223G0001X 22DI02769200 New Jersey
Dental Providers / General Practice 1223G0001X DN1859394 Massachusetts
Dental Providers / Dentist 122300000X DN1859394 Massachusetts

Profile Details

NPI number 1144873944
LBN Legal business name Sidhom, Fady
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2019
Last updated Jul 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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