National Provider Identifier
Sidney F Jack, DDS
Sidney F Jack, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Hamburg, NY and a listed phone number of (716) 648-3350.
Profile Overview
- NPI
- 1720180938
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- September 01, 2006
- Last Updated
- July 08, 2007
Practice Location
- 5877 S Park Ave
- Hamburg, NY 14075
Phone: (716) 648-3350
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1720180938
- Entity Type
- Individual
- Last Name
- Jack
- First Name
- Sidney
- Middle Name
- F
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 5877 S Park Ave
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075
- Mailing Country
- US
- Mailing Phone
- (716) 648-3350
- Practice Street Address
- 5877 S Park Ave
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075
- Practice Country
- US
- Practice Phone
- (716) 648-3350
- Enumeration Date
- September 01, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)