Provider Demographics
NPI:1114673571
Name:DAWSON, SYDNEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:
Last Name:DAWSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:
Other - Last Name:PURSCHWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1381 MARY LN
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-3242
Mailing Address - Country:US
Mailing Address - Phone:202-465-0553
Mailing Address - Fax:
Practice Address - Street 1:101 E REDLANDS BLVD STE 134
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4723
Practice Address - Country:US
Practice Address - Phone:909-335-3631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1057051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice