Individual provider · Type 1 NPI

Sidney Charles Wisdom, DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · Roseville, CA

NPI number 1376647487 Active

Practice location

2350 Professional Dr, Suite 300
Roseville, CA 95661

Fax (916) 783-5863

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	33877 (CA)
Dentist	122300000X	33877 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1376647487

Sidney Charles Wisdom, DDS MS's National Provider Identifier is 1376647487, issued on Sep 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Roseville, CA. The record was last updated on Sep 28, 2021.