Jagjot Sidhu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28353 Issued in TX

Practice address

3499 N Campbell Ave
Suite 902
Tucson, AZ 85719-2376

Phone

(402) 850-7405

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1548327661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 N CAMPBELL AVE",
            "address_2": "SUITE 902",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192376",
            "telephone_number": "402-850-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 N CAMPBELL AVE",
            "address_2": "SUITE 902",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192376",
            "telephone_number": "402-850-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "JAGJOT",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010680",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen De Los Angeles Siddons
• Lila C Sideras, MA, LPC
• Kallie Marie Siderewicz, RDN
• Danielle Siders
• Amanpreet Kaur Sidhu
• Manreet Sidhu
• Sylvain Sidi, MD
• Phyllis Marie Siebern, LPC
• Candy Siegel, PH.D.
• David B Siegel, MD

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.