Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIDNEY CHARLES WISDOM, DDS MS
ActiveSIDNEY CHARLES WISDOM, DDS MS is a Orthodontics healthcare provider located in ROSEVILLE, California. NPI 1376647487 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · ROSEVILLE, CA
Registration Details
- NPI Number
- 1376647487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2006 (19.880021792147 yrs)
- Last Updated
- Sep 28, 2021
- Licenses
-
33877 (CA)33877 (CA)
Practice Information
- Address
-
2350 PROFESSIONAL DRSUITE 300ROSEVILLE, CA, 95661Browse CA providers · Browse ZIP 95661
- Phone
- 9167835239
- Fax
- 9167835863
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Dentist
Other Orthodontics Providers in ROSEVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. STUART D. GREENBERG | — | 1215902853 |
| DR. RONALD OTTO | DDS, MS | 1982622270 |
| THAIS CARVALHO BOOMS | DDS | 1679591556 |
| DWIGHT MILLER | DDS | 1417976572 |
| DR. P. SCOTT FAVERO | D.M.D., M.S. | 1093885311 |
| DR. STEVEN W FRANK | DDS MS | 1568532323 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.