location
search-icon
person
Dr. Jerry Siderman, DDS
General Practice Dentistry in Huntington Park, California
NPI 1386716975

Jerry Siderman is a General Practice Dentistry based in Huntington Park, CA and is specialized in General Practice. Jerry Siderman practices in Huntington Park, CA and has the professional credentials of DDS. The NPI Number for Jerry Siderman is 1386716975 and holds a License No. 41789 (California).

The current practice location address for Jerry Siderman is 6601 Rugby Ave Ste 400, Huntington Park, CA and can be reached out via phone at 323-585-1515 and via fax at 323-585-2199.

Location: 6601 Rugby Ave Ste 400, Huntington Park, CA, 90255-4046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386716975
Provider Name
Jerry Siderman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6601 Rugby Ave Ste 400, Huntington Park, CA, 90255-4046
Phone Number
323-585-1515
Fax Number
323-585-2199
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
G91803 01 CA DENTI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
6601 Rugby Ave Ste 400
City
Huntington Park
State
California
Zip
90255-4046
Phone Number
323-585-1515
Fax Number
323-585-2199
person
Provider Business Mailing Address Details
Address
6601 Rugby Ave Ste 400
City
Huntington Park
State
California
Zip
90255-4046
Phone Number
323-585-1515
Fax Number
323-585-2199
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
41789 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.