MEDICARE: DR. SIDNEY MICHELLE CHADWICK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11813	NC

General Provider Information

NPI Number	:	1437771045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIDNEY MICHELLE CHADWICK

Provider Business Mailing Address
First Line	:	800 W MAIN ST STE B
Second Line	:
City	:	JAMESTOWN
State	:	NC
Zip	:	27282-8830
Country	:	US
Telephone Number	:	252-732-5946
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W MAIN ST STE B
Second Line	:
City	:	JAMESTOWN
State	:	NC
Zip	:	27282-8830
Country	:	US
Telephone Number	:	336-454-3116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	04/07/2026

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