Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARISSA SANDIDGE, DMD
ActiveDR. MARISSA SANDIDGE, DMD is a Pediatric Dentistry healthcare provider located in COOKEVILLE, Tennessee. NPI 1992194195 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · COOKEVILLE, TN
Registration Details
- NPI Number
- 1992194195
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2015 (11.630049568732 yrs)
- Last Updated
- Jan 1, 2019
- Licenses
-
2901021436 (MI)10377 (TN)
Practice Information
- Address
-
1100 NEAL ST STE BCOOKEVILLE, TN, 385010900Browse TN providers · Browse ZIP 38501
- Phone
- 9312406224
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in COOKEVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| LANDON SEARS | D.M.D. | 1356876320 |
| TAYLOR ANTIONE SIMS | DDS | 1093387771 |
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.