Stephen Scott Sidwell, DDS

NPI #1528204641 in Longmont, Colorado

Provider Information

NPI Number: 1528204641
Entity Type: Individual
Name: Stephen Scott Sidwell, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 18, 2008
Last Updated: Dec 18, 2008

Practice Location

Address: 1750 MOUNTAIN VIEW AVE
City: Longmont
State: Colorado
ZIP Code: 80501-3211
Phone: (303) 678-7783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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