Sejal Sidhu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001836-15 Issued in WI

Practice address

550 City Ctr
Oshkosh, WI 54901-4830

Phone

(920) 731-7445

Fax

(920) 651-3485

NPI assigned

Aug 11, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1750267324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N MCCARTHY RD STE S",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139111",
            "telephone_number": "920-731-7445",
            "fax_number": "920-404-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CITY CTR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014830",
            "telephone_number": "920-731-7445",
            "fax_number": "920-651-3485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 W Fulton St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811471",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "fax_number": "534-429-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5337 W Grande Market Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549138442",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "fax_number": "920-882-2946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "SEJAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001836-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100381162",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.