DR. ANTHONY JOHN SIDOR (NPI# 1740225036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740225036 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY JOHN SIDOR |
| Credential | D.D.S. |
| Practice Address |
225 S Plumosa St Merritt Island FL 32952-3525 |
| Practice Telephone | 3214531890 |
| Practice Fax Number | 3214531521 |
| Mailing Telephone | 3214531890 |
| Mailing Fax Number | 3214531521 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2014-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN 13170 | FL | Dental Providers |
| Street Address |
225 S PLUMOSA ST |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32952-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558850438 | Yaciel Fernando Ferrera | Dentist | 225 S Plumosa St, Merritt Island, FL 32952-3525 | 2018-05-06 |
| 1114325776 | Anthony J. Sidor, D.d.s., P.a. | Dentist | 225 S Plumosa St, Merritt Island, FL 32952-3525 | 2014-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841761673 | Pushpa Daliya | Physical Medicine & Rehabilitation | 1200 S Courtenay Pkwy, Merritt Island, FL 32952 | 2018-12-05 |
| 1407335458 | Merritt Island Outpatient Surgery Center, LLC | Clinic/Center | 450 E Merritt Island Cswy Ste 400, Merritt Island, FL 32952 | 2018-08-10 |
| 1760903272 | Harold A Utt Jr. | Audiologist | 105 N. Banana River Drive, Merritt Island, FL 32952 | 2017-07-06 |
| 1942720982 | Cadiz Senior Care | Assisted Living Facility | 1970 Farrington Drive, Merritt Island, FL 32952 | 2017-06-21 |
| 1891230884 | Jessica Orcel | Behavioral Analyst | 1680 E. Central Avenue, Merritt Island, FL 32952 | 2016-12-29 |
| 1770039539 | Haley Haskins | Student in an Organized Health Care Education/Training Program | 1655 Yates Dr., Merritt Island, FL 32952 | 2016-08-31 |
| 1891150900 | Kristin Stevenson | Case Management | 262 Island Beach Blvd, Mirritt Island, FL 32952 | 2015-12-17 |
| 1568835080 | Brilliant Smiles Orthodontics | Health Maintenance Organization | 455 Magnolia Avenue, Merritt Island, FL 32952 | 2015-11-05 |
| 1184967184 | Roseann Judith Simone | Assisted Living Facility | 280 Bahama Dr, Angel Guardian, Cocoa Beach, FL 32952 | 2013-03-28 |
| 1942558861 | Daven H Patel | Dentist | 800 E. Merritt Island Causeway, Merritt Island, FL 32952 | 2012-08-27 |
| Find all providers in zip 32952 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548733165 | Dynamic Dental Health Associates of Florida Pa | Dentist | 190 S Sykes Creek Pkwy Ste 2, Merritt Island, FL 32952-3572 | 2019-01-07 |
| 1710499538 | Cornerstone Dentistry Holdings Pllc | Dentist | 800 E Merritt Island Cswy Ste 105, Merritt Island, FL 32952-3514 | 2017-11-02 |
| 1295247427 | Stephanie Thomas | Dentist | 800 E Merritt Island Cswy # 105, Merritt Island, FL 32952-3514 | 2017-10-27 |
| 1750662698 | William John Eells | Dentist | 9 Windjammer Pt, Merritt Island, FL 32952-7003 | 2011-09-06 |
| 1457647711 | Jere Scott Gillan Jr. | Dentist | 800 E Merritt Cswy, Merritt Island, FL 32952-3514 | 2011-06-24 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1225253297 | Frederick H Waggener | Dentist | 115 Parnell St, Merritt Island, FL 32953-4715 | 2007-04-16 |
| 1366564213 | Martin Megregian | Dentist | 4245 N Courtenay Pkwy, Merritt Island, FL 32953-8131 | 2007-04-04 |
| 1336287812 | Gentle Care Dentistry | Dentist | 400 E Merritt Ave, Suite B, Merritt Island, FL 32953-3434 | 2007-02-05 |
| 1174674360 | Gary Emanuel Herbeck | Dentist | 1355 N Courtenay Pkwy, Suite K Town Square, Merritt Island, FL 32953-4401 | 2007-01-15 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32952 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.