Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326427840 Individual Practitioner Female Practitioner

Komal Sidhu

Dentist - General Practice • Livermore, CA

Professional Overview & Biography Verified Profile Summary

Komal Sidhu is a registered healthcare professional specializing in Dentist - General Practice in Livermore, CA. Practice services are available at 1915 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1915 4th St

Livermore, CA 94550

Telephone 9178540088

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Livermore, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Livermore, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA DDS100639

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License PA DS040473

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.

Secondary Practice Locations

5473 N Salinas Ave Apt 152

Fresno, CA 937226473

Phone: 9178540088

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1568680130

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location September 03, 2019

Registered at 1915 4TH ST, LIVERMORE, CA 94550 (Tel: 9178540088)

📍
Updated Business Mailing Address September 03, 2019

Registered at 4435 1ST ST # 105, LIVERMORE, CA 945514915 (Tel: 9178540088)

📍
Updated Practice Location September 04, 2018

Registered at 1951 W MIDDLEFIELD DR APT 235, TRACY, CA 95377 (Tel: 9178540088)

📍
Updated Business Mailing Address September 04, 2018

Registered at 1951 W MIDDLEFIELD DR APT 235, TRACY, CA 953778369 (Tel: 9178540088)

NPI Profile Active January 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2017

Registered at 5473 N SALINAS AVE APT 152, FRESNO, CA 937226473 (Tel: 9178540088)

📍
Updated Business Mailing Address January 20, 2017

Registered at 5473 N SALINAS AVE APT 152, FRESNO, CA 937226473 (Tel: 9178540088)

👤
Provider Name / Credentials Updated January 20, 2017

Recorded as KOMAL SIDHU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2017

Dentist (License #DS040473 in PA)

NPI Profile Active August 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2016

Registered at 755 NORLAND AVE, SUITE 200, CHAMBERSBURG, PA 172014221 (Tel: 7177097913)

📍
Updated Business Mailing Address August 23, 2016

Registered at 4591 SEQUOIA DR APT B315, HARRISBURG, PA 171096423 (Tel: 9178540088)

👤
Provider Name / Credentials Updated August 23, 2016

Recorded as KOMAL SIDHU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2016

Dentist (License #DS040473 in PA)

🟢
Initial NPI Registration & Enumeration May 29, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326427840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2015
Last Update: September 03, 2019
Sole Proprietor: No

Mailing Address

4435 1st St # 105

Livermore, CA 945514915

Phone: 9178540088

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.