DR. TARKAN SIDAL DDS, MD
NPI 1407036502
Oral & Maxillofacial Surgery in San Diego, CA

Active since November 07, 2007PECOS EnrolledAccepts Medicare Assignment
8008 FROST ST, SUITE 311, SAN DIEGO, CA 92123(858) 292-6033 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Tarkan Sidal Dds, Md NPPES

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

DR. TARKAN SIDAL DDS, MD (NPI 1407036502) is an individual oral & maxillofacial surgery provider in San Diego, California, licensed in California (A122601) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1407036502
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. TARKAN SIDALCredential: DDS, MD
Location Address8008 FROST ST, SUITE 311San Diego, CA 92123-4205
Mailing Address8008 Frost St, Suite 311San Diego, CA 92123-4205 · (858) 292-6033
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 7, 2007
Last NPPES UpdateJuly 21, 2014
NPI 1407036502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in CA · A122601
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentistTaxonomy 122300000X · License 019-027754 (IL)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License OMS 101 (CA)
8008 FROST ST, San Diego, CA 92123

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tarkan Sidal Dds, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153696380
PECOS Enrollment IDI20171013001309
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Hand Surgery)
8008 FROST ST, SUITE 403
SAN DIEGO, CA 92123
Obstetrics & Gynecology
8008 FROST ST, SUITE 406
SAN DIEGO, CA 92123
Obstetrics & Gynecology
8008 FROST ST, SUITE 406
SAN DIEGO, CA 92123
Surgery
8008 FROST ST, SUITE 406
SAN DIEGO, CA 92123
Orthotist
8008 FROST ST, SUITE 407
SAN DIEGO, CA 92123
Neurological Surgery
8008 FROST ST, SUITE 401
SAN DIEGO, CA 92123
Physician Assistant
8008 FROST ST, SUITE 106
SAN DIEGO, CA 92123
Dentist (Oral and Maxillofacial Surgery)
8008 FROST ST, SUITE 311
SAN DIEGO, CA 92123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407036502, enumerated as an "individual" on November 07, 2007.

The provider is located at 8008 FROST ST SUITE 311 SAN DIEGO, CA 92123 and the phone number is (858) 292-6033.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.