Sidky Family Dentistry

LBN: Sidky Family Dentistry
Sidky Family Dentistry is an health care organization with primary practice located at 557 Prairie Center Dr , Eden Prairie MN 55344-5379. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sidky Family Dentistry can be contacted via phone (952) 405-8838, or through Sidky, Haydi Robeir via phone (952) 405-8838.

Contact Information

Primary practice address
557 Prairie Center Dr Eden Prairie MN 55344-5379
Phone: (952) 405-8838
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sidky, Haydi Robeir Doctor of Dental Surgery (DDS)
Phone: (952) 405-8838

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D12056 Minnesota

Profile Details

NPI number 1811135288
LBN Legal business name Sidky Family Dentistry
DBA Doing business as
Authorized official Sidky, Haydi Robeir Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2009
Last updated Jan 23rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811135288 NPPES
Minnesota MEDICAID 988179400

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