INDRA SIDHU DDS
NPI 1699076307
Dentist - General Practice in Glen Burnie, MD

Active since November 11, 2010
208 CRAIN HWY S, GLEN BURNIE, MD 21061(410) 553-0651(410) 510-1009 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About INDRA SIDHU DDS

This page provides the complete NPI Profile along with additional information for Indra Sidhu Dds, a provider established in Glen Burnie, Maryland operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1699076307 assigned on November 2010. The practitioner's primary taxonomy code is 1223G0001X with license number 11295 (MD). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Indra Sidhu Dds (Owner)

NPI
1699076307 Verify this NPI
Provider Name
INDRA SIDHU DDS
Entity Type
Organization
Location Address
208 CRAIN HWY S GLEN BURNIE, MD 21061
Location Phone
(410) 553-0651
Location Fax
(410) 510-1009
Mailing Address
208 CRAIN HWY S GLEN BURNIE, MD 21061
Mailing Phone
(410) 553-0651
Mailing Fax
(410) 510-1009
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-11-2010
Last Update Date
01-19-2024
Code Navigator

A dentist like Indra Sidhu Dds is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
11295
License State
MD
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. INDRA SIDHU DDS

Authorized Official Title
OWNER
Authorized Official Phone
(301) 498-0002

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699076307, enumerated as an "organization" on November 11, 2010.

The provider is located at 208 CRAIN HWY S GLEN BURNIE, MD 21061 and the phone number is (410) 553-0651.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.