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
Phone: (508) 319-1480
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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