Provider Type Icon

SIDNEY CHARLES WISDOM DDS MS NPI 1376647487


NPI Information

NPI: 1376647487
Provider Name: SIDNEY CHARLES WISDOM, DDS MS
Classification: Dentist - 1223X0400X
Entity Type: Individual

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
2350 PROFESSIONAL DR
SUITE 300
ROSEVILLE, CA
ZIP 95661
Phone: (916) 783-5239
Get Directions

Sidney Charles Wisdom, DDS MS is an orthodontics and dentofacial orthopedics dentist in Roseville, CA. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. Sidney Charles Wisdom, DDS MS NPI is 1376647487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2350 PROFESSIONAL DR
SUITE 300
ROSEVILLE, CA
ZIP 95661
Phone: (916) 783-5239
Fax: (916) 783-5863

The enumeration date for this NPI number is 9/11/2006 and was last updated on 9/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics33877CALIFORNIAYes
2122300000XDentist33877CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.