Provider Demographics
NPI:1669200861
Name:SOLDNER, SYDNEY JIMENEZ (DMD)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:JIMENEZ
Last Name:SOLDNER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 STONEY BROOK LN
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-9385
Mailing Address - Country:US
Mailing Address - Phone:843-642-5625
Mailing Address - Fax:
Practice Address - Street 1:181 W WILKES MEDICAL CENTER RD
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:NC
Practice Address - Zip Code:28624-8925
Practice Address - Country:US
Practice Address - Phone:336-973-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13902122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist