MARK SIDRANSKY DDS
NPI 1760006670
Dentist - General Practice in Jbsa Lackland, TX

Active since June 05, 2020
59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL STREET, BUILDING 3352, JBSA LACKLAND, TX 78236(210) 292-6258 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2023, Jun 5, 2020 (2 updates tracked since 2020).

About Mark Sidransky Dds NPPES

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

MARK SIDRANSKY DDS (NPI 1760006670) is an individual general practice provider in Jbsa Lackland, Texas, licensed in Colorado (DEN.00204390) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1760006670
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK SIDRANSKYCredential: DDS
Location Address59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL STREET, BUILDING 3352Jbsa Lackland, TX 78236-5313
Mailing Address1711 Doolittle Ave Unit FortFort Worth, TX 76127-1133
Sole ProprietorYes
Enumeration DateJune 5, 2020
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1760006670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CO · DEN.00204390
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.
Also ListedDentistTaxonomy 122300000X · License DEN.00204390 (CO)
59 DG AF POSTGRADUATE DENTAL SCHOOL, Jbsa Lackland, TX 78236

Other Providers at the Same Location NPPES 3

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

Dentist (Prosthodontics)
59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL STREET, BUILDING 3352
JBSA-LACKLAND, TX 78236
Dentist (Oral and Maxillofacial Surgery)
59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 KLINKER STREET, BUILDING 3352
JBSA-LACKLAND, TX 78236
Dentist (General Practice)
59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL ST BLDG 3352
JBSA - LACKLAND, TX 78236

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 Mark Sidransky's NPI number?

The NPI number for Mark Sidransky is 1760006670. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Mark Sidransky located?

Mark Sidransky practices at 59 Dg Af Postgraduate Dental School 2133 Pepperrell Street, Building 3352, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-6258.

What is Mark Sidransky'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 Mark Sidransky was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.