MARTI ANN SIDOLI-TANNER RDH, RDHAP
NPI 1790452878
Advanced Practice Dental Therapist in Fresno, CA

Active since August 25, 2021
6806 W ALLUVIAL AVE, FRESNO, CA 93722(559) 304-4080(559) 275-3603 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marti Ann Sidoli-tanner Rdh, Rdhap NPPES

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

MARTI ANN SIDOLI-TANNER RDH, RDHAP (NPI 1790452878) is an individual advanced practice dental therapist in Fresno, California, licensed in California (HAP847) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1790452878
Entity TypeIndividualFemale
Primary Taxonomy125K00000X
Provider Legal NameMARTI ANN SIDOLI-TANNERCredential: RDH, RDHAP
Location Address6806 W ALLUVIAL AVEFresno, CA 93722-3596
Mailing Address6806 W Alluvial AveFresno, CA 93722-3596 · (559) 275-3603 · Fax (559) 275-3603
Fax(559) 275-3603
Sole ProprietorYes
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
NPI 1790452878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice Dental TherapistDental Providers
Taxonomy Code125K00000X
License Licensed in CA · HAP847
Definition
An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
6806 W ALLUVIAL AVE, Fresno, CA 93722

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 Marti Sidoli-tanner's NPI number?

The NPI number for Marti Sidoli-tanner is 1790452878. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Marti Sidoli-tanner located?

Marti Sidoli-tanner practices at 6806 W Alluvial Ave, Fresno, CA 93722. The listed phone number is (559) 304-4080.

What is Marti Sidoli-tanner's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

When was this NPI record last updated?

The NPPES record for Marti Sidoli-tanner was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.