Evaneet Sidhu, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN10000769 Issued in MA

Practice address

209 Harvard St
Brookline, MA 02446-5071

Phone

(617) 744-7001

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1477133239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAGRANGE ST UNIT 1008",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162869",
            "telephone_number": "916-996-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465071",
            "telephone_number": "617-744-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1037A Beacon St",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024465609",
            "country_code": "US",
            "telephone_number": "617-676-0265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "021554605",
            "country_code": "US",
            "telephone_number": "617-863-9192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "EVANEET",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN10000769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Shneider, PHD
• Polina Shneyderman
• Oliver Jacob Shore, MD
• Pallavi Shukla, M.S., ED.M, CCC-SLP
• Alicia Shulman, CNP
• Marjorie B. Siegel, LICSW
• Charles J Siegert, M.D.
• Yulia Sigal, PT
• Shelby I. Silas, PTA
• Sandra M Siler, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Brookline, MA
• Providers in Brookline, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.