1. Home
  2. Directory
  3. Florida
  4. Bartow
  5. Dentist
  6. NPI Profile

DR. JENNIFER MARIE STIDHAM DMD
NPI 1396843330
Dentist - General Practice in Bartow, FL

Active since September 21, 2006
620 E DAVIDSON ST, BARTOW, FL 33830(863) 533-4331(863) 534-1168 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jennifer Marie Stidham Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER MARIE STIDHAM DMD (NPI 1396843330) is an individual general practice provider in Bartow, Florida, licensed in Florida (10646) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1396843330
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER MARIE STIDHAMCredential: DMD
Location Address620 E DAVIDSON STBartow, FL 33830-4051
Mailing Address620 E Davidson StBartow, FL 33830-4051 · (863) 533-4331 · Fax (863) 534-1168
Phone(863) 533-4331
Fax(863) 534-1168
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396843330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 10646
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
620 E DAVIDSON ST, Bartow, FL 33830
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Stidham's NPI number?

The NPI number for Jennifer Stidham is 1396843330. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Jennifer Stidham located?

Jennifer Stidham practices at 620 E Davidson St, Bartow, FL 33830. The listed phone number is (863) 533-4331.

What is Jennifer Stidham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jennifer Stidham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.