Sidow, Stephanie Jane
Sidow, Stephanie Jane is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive , Augusta GA 30912-5660. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Sidow, Stephanie Jane can be contacted via phone (706) 721-4225.Contact Information
Primary practice address
1430 John Wesley Gilbert Drive
Augusta GA 30912-5660
Phone: (706) 721-4225
Fax: (706) 723-0218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 3987 | Wisconsin |
| Dental Providers / Endodontics | 1223E0200X | DN23901 | Florida |
| Dental Providers / Endodontics | 1223E0200X | DN015068 | Georgia |
Profile Details
| NPI number | 1831109099 |
|---|---|
| LBN Legal business name | Sidow, Stephanie Jane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Oct 25th, 2021 - 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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