Provider Demographics
NPI:1043956352
Name:SPERBER, SYDNEY LAUREN (DMD CANDIDATE)
Entity Type:Individual
Prefix:MS
First Name:SYDNEY
Middle Name:LAUREN
Last Name:SPERBER
Suffix:
Gender:F
Credentials:DMD CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SCHOOL ST APT C
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-1483
Mailing Address - Country:US
Mailing Address - Phone:207-318-7488
Mailing Address - Fax:
Practice Address - Street 1:36 SCHOOL ST APT C
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-1483
Practice Address - Country:US
Practice Address - Phone:207-318-7488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1859412122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist