Active NPIIndividual provider

Jatinderjeet Sidhu, DMD

Dentist, General Practice in Brockton, Massachusetts

NPI Number1629231857
Practice location
698 Crescent St, Brockton, MA 02302-3360
Fax
—
Last updated
May 12, 2016

Jatinderjeet Sidhu is a Dentist, General Practice based in Brockton, MA. Jatinderjeet Sidhu practices in Brockton, MA and has the professional credentials of DMD. The NPI Number for Jatinderjeet Sidhu is 1629231857 and holds a License No. 22236 (MA). The current practice location address for Jatinderjeet Sidhu is 698 Crescent St, Brockton, MA 02302-3360 and can be reached out via phone at 857-492-6269.

Provider Profile Details

NPI Number
1629231857
Provider Name
Jatinderjeet Sidhu
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
698 Crescent St, Brockton, MA 02302-3360
Phone Number
857-492-6269
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Other Names
-- Jatinderjeet Gill (Former Name)
Provider Enumeration Date
July 8, 2008
Last Update Date
May 12, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
698 Crescent St
Brockton, MA 02302-3360
Zip
02302-3360
Phone Number
857-492-6269
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
684 Washington St
Ste - 200
Stoughton, MA 02072-4212
City
Stoughton
State
MA
Zip
02072-4212
Phone Number
617-515-5080
Fax Number
781-297-9993

License Information

License Number
22236
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Jatinderjeet Sidhu, DMD?

The NPI number of Jatinderjeet Sidhu, DMD is 1629231857. It was assigned on July 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Jatinderjeet Sidhu, DMD?

Jatinderjeet Sidhu, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 22236.

Where does Jatinderjeet Sidhu, DMD practice?

The practice location is 698 Crescent St, Brockton, MA 02302-3360. The office can be reached at 857-492-6269 (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 1629231857 directly on the NPPES registry website.

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