Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760006670 Individual Practitioner Male Practitioner

Dr. Mark Sidransky , DDS

Dentist - General Practice • Jbsa Lackland, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mark Sidransky, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jbsa Lackland, TX. Practice services are available at 59 DG AF POSTGRADUATE DENTAL SCHOOL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

59 Dg Af Postgraduate Dental School
2133 Pepperrell Street, Building 3352

Jbsa Lackland, TX 782365313

Telephone 2102926258

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jbsa Lackland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Jbsa Lackland, TX (10570 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: 2025-07-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO DEN.00204390

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

NUCC Taxonomy Code: 122300000X

State License CO DEN.00204390

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

26 Associated Practitioners
Dr. Mark Ryan , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023354388

Doctor of Dental Surgery

NPI 1033794730

Doctor of Dental Medicine

NPI 1043624695

Doctor of Dental Medicine

Dr. Ian Kaemmer , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1124450036

Doctor of Dental Medicine

Dr. Julie Van , DMD

Dentist - General Practice

NPI 1134571904

Doctor of Dental Medicine

NPI 1144902172

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 23, 2025

Registered at 59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL STREET, BUILDING 3352, JBSA LACKLAND, TX 782365313 (Tel: 2102926258)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2025

Dentist (License #DEN.00204390 in CO)

📍
Updated Practice Location October 19, 2023

Registered at 1711 DOOLITTLE AVE, FORT WORTH, TX 761271133 (Tel: 3619614311)

📍
Updated Business Mailing Address October 19, 2023

Registered at 1711 DOOLITTLE AVE UNIT FORT, FORT WORTH, TX 761271133

NPI Profile Active June 05, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2020

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921341098 (Tel: 6195326400)

📍
Updated Business Mailing Address June 05, 2020

Registered at 5809 DIAMOND POINT CIR, EL PASO, TX 799124152 (Tel: 9155260886)

👤
Provider Name / Credentials Updated June 05, 2020

Recorded as MARK SIDRANSKY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2020

Dentist (License #DEN.00204390 in CO)

🟢
Initial NPI Registration & Enumeration June 05, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Sidransky. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Sidransky

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1760006670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2020
Last Update: July 23, 2025
Sole Proprietor: Yes

Mailing Address

1711 Doolittle Ave Unit Fort

Fort Worth, TX 761271133

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.