Individual
DR. STEPHANIE JANE SIDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-5660
(706) 721-4225
(706) 723-0218
Mailing address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-4225
(706) 723-0218
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
3987
WI
1223E0200X
Endodontics
Primary
DN015068
GA
1223E0200X
Endodontics
DN23901
FL
Other
Enumeration date
08/09/2006
Last updated
10/25/2021
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