Marti Ann Sidoli-Tanner, RDH, RDHAP

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

HAP847 Issued in CA

Practice address

6806 W Alluvial Ave
Fresno, CA 93722-3596

Phone

(559) 304-4080

Fax

(559) 275-3603

NPI assigned

Aug 25, 2021

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

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1790452878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6806 W ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223596",
            "telephone_number": "559-275-3603",
            "fax_number": "559-275-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6806 W ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223596",
            "telephone_number": "559-304-4080",
            "fax_number": "559-275-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDOLI-TANNER",
        "first_name": "MARTI",
        "middle_name": "ANN",
        "credential": "RDH, RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "HAP847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubani Sidhu
• Sahejpreet Kaur Sidhu
• Satinderpal Singh Sidhu, MD
• Satpal Singh Sidhu
• Sukhampal Singh Sidhu, M.D.
• Andrey Ivanovich Sidorenko, PA-C, DMSC
• Dominique Julianna Sidoti
• Andrew Anthony Siegel
• William Lowell Siegfried, M.D.
• Kathryn Anne Siemens, D.D.S.

• Advanced Practice Dental Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Advanced Practice Dental Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.