Boris J Sidow is a Dentist in Augusta, Georgia. Boris J Sidow practices all healthcare services and medical treatments related to Dentist. The NPI Number for Boris J Sidow is 1588674733. The last update date is 2015-09-16.
Boris J Sidow's current location address is 3634 Wheeler Road, Augusta, Georgia. You can contact this provider via phone number 7068608228 and fax number 7068607222. The mailing address for Boris J Sidow is 3634 Wheeler Road, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Boris J Sidow |
|---|---|
| Address | 3634 Wheeler Road, Augusta, Georgia |
| Phone Number | 7068608228 |
| Fax Number | 7068607222 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1588674733 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2015-09-16 |
Provider Mailing Address Detail
| Address | 3634 Wheeler Road |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309096518 |
| Phone Number | 7068608228 |
| Fax Number | 7068607222 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN013478 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111331508B | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Boris J Sidow?
The Boris J Sidow has been issued the NPI (National Provider Identifier) 1588674733 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Boris J Sidow?
The Boris J Sidow is physically situated at 3634 Wheeler Road, in the city of Augusta, state of GA, with the postal code 309096518.
What is Boris J Sidow's area of expertise and its corresponding taxonomy classification?
The Boris J Sidow's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did Boris J Sidow receive its 1588674733 assignment from the Centers for Medicare & Medicaid Services?
The Boris J Sidow was assigned its 1588674733 on 2006-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Boris J Sidow most recently updated or revised?
The details related to Boris J Sidow, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-16.
NPI Number: 1376546309
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