Sidney Charles Wisdom in Roseville - Dentist

Sidney Charles Wisdom - NPI 1376647487

Sidney Charles Wisdom is a Dentist in Roseville, California. Sidney Charles Wisdom practices all healthcare services and medical treatments related to Dentist. The NPI Number for Sidney Charles Wisdom is 1376647487. The last update date is 2021-09-28.

Sidney Charles Wisdom's current location address is 2350 Professional Dr, Roseville, California. You can contact this provider via phone number 9167835239 and fax number 9167835863. The mailing address for Sidney Charles Wisdom is 2350 Professional Dr, Roseville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Sidney Charles Wisdom
Address 2350 Professional Dr, Roseville, California
Phone Number 9167835239
Fax Number 9167835863
Sole Proprietor N
Credentials DDS MS

NPI Number Detail

NPI Number 1376647487
Provider Enumeration Date 2006-09-11
Last Updated Date 2021-09-28

Provider Mailing Address Detail

Address 2350 Professional Dr
City Roseville
State California (CA)
Post Code 95661
Phone Number 9167835239
Fax Number 9167835863

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 33877
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Sidney Charles Wisdom

What is the unique 10-digit identifier code issued to Sidney Charles Wisdom by the Centers for Medicare & Medicaid Services?

The Sidney Charles Wisdom has been assigned the NPI (National Provider Identifier) 1376647487 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Sidney Charles Wisdom is geographically located?

The Sidney Charles Wisdom is physically situated at the following location: 2350 Professional Dr, Roseville, CA, 95661.

What is Sidney Charles Wisdom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sidney Charles Wisdom is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did Sidney Charles Wisdom receive its 1376647487 assignment from the Centers for Medicare & Medicaid Services?

The Sidney Charles Wisdom was assigned its 1376647487 on 2006-09-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Sidney Charles Wisdom's details last updated?

The information pertaining to the Sidney Charles Wisdom, including its address, specialty, and other details, was most recently updated on 2021-09-28.

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