Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831109099 Individual Practitioner Female Practitioner

Dr. Stephanie Jane Sidow , DDS

Dentist - Endodontics • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Sidow, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Augusta, GA. Practice services are available at 1430 JOHN WESLEY GILBERT DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Drive

Augusta, GA 309125660

Telephone 7067214225
Fax 7067230218
Associated Practice Facility / Clinic
🏢 Au Dental Associates Facility NPI 1457541781

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Augusta, GA (162 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

CMS Verified: 2021-10-25
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License GA DN015068

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License WI 3987

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License FL DN23901

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Daniel Carlon , DMD

Student in an Organized Health Care Education/Training Program

NPI 1407291768

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2021

Dentist (License #3987 in WI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2021

Dentist (License #DN015068 in GA)

📍
Updated Practice Location November 07, 2018

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309125660 (Tel: 7067214225)

📍
Updated Business Mailing Address November 07, 2018

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067214225)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 38TH STREET/BLDG 38717, USA DENTAC, FT GORDON, GA 309055660 (Tel: 7067876927)

📍
Updated Business Mailing Address July 08, 2007

Registered at 38TH STREET/BLDG 38717, USA DENTAC, FT GORDON, GA 309055660 (Tel: 7067876927)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHANIE SIDOW, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3987-015 in WI)

🟢
Initial NPI Registration & Enumeration August 09, 2006

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: 1831109099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: October 25, 2021
Sole Proprietor: No

Mailing Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Phone: 7067214225

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.