Active NPIIndividual providerSole proprietor

Dr. Edda Y Sidorova, DMD

Dentist in Metuchen, New Jersey

NPI Number1083283659
Practice location
230 Bridge St, Metuchen, NJ 08840-2291
Fax
—
Last updated
October 22, 2026

Edda Yesenia Sidorova is a Dentist based in Metuchen, NJ. Edda Yesenia Sidorova practices in Metuchen, NJ and has the professional credentials of DMD. The NPI Number for Edda Yesenia Sidorova is 1083283659 and holds a License No. 26059 (FL). The current practice location address for Edda Yesenia Sidorova is 230 Bridge St, Metuchen, NJ 08840-2291 and can be reached out via phone at 732-494-7877.

Provider Profile Details

NPI Number
1083283659
Provider Name
Edda Yesenia Sidorova
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
230 Bridge St, Metuchen, NJ 08840-2291
Phone Number
732-494-7877
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 18, 2021
Last Update Date
October 22, 2026
Certification Date
October 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
230 Bridge St
Metuchen, NJ 08840-2291
Zip
08840-2291
Phone Number
732-494-7877
Metuchen, NJ 08840Get directions →

Provider Business Mailing Address Details

Address
230 Bridge St
Metuchen, NJ 08840-2291
City
Metuchen
State
NJ
Zip
08840-2291
Phone Number
732-494-7877
Fax Number
732-494-7877

License Information

License Number
26059
License State
FL
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Edda Y Sidorova, DMD?

The NPI number of Dr. Edda Y Sidorova, DMD is 1083283659. It was assigned on June 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Edda Y Sidorova, DMD?

Dr. Edda Y Sidorova, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in FL under license number 26059.

Where does Dr. Edda Y Sidorova, DMD practice?

The practice location is 230 Bridge St, Metuchen, NJ 08840-2291. The office can be reached at 732-494-7877 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083283659 directly on the NPPES registry website.

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