Mark Sidransky, DDS
General Practice Dentistry · Jbsa Lackland, TX
Practice location
59 DG Af Postgraduate Dental School2133 Pepperrell Street, Building 3352
Jbsa Lackland, TX 78236-5313
- Phone
- (210) 292-6258
NPI record
- NPI
- 1760006670
- Entity type
- Individual (Type 1)
- Enumeration date
- June 5, 2020
- Last updated
- July 23, 2025
- Certified
- July 14, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DEN.00204390 | CO |
| Dentist | 122300000X |
DEN.00204390 | CO |
Mailing address
1711 Doolittle Ave Unit FortFort Worth, TX 76127-1133
About Dr. Sidransky
Mark Sidransky, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 59 DG Af Postgraduate Dental School, 2133 Pepperrell Street, Building 3352, Jbsa Lackland, TX 78236-5313. The NPI number 1760006670 was assigned on June 5, 2020 and the record was last updated on July 23, 2025.
Dr. Sidransky lists 2 licenses in the registry: #DEN.00204390 (CO) for General Practice Dentistry; #DEN.00204390 (CO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark Sidransky, DDS?
The NPI number is 1760006670.
What is the phone number of Dr. Sidransky?
The phone number listed for the practice location is (210) 292-6258.
Where is Dr. Sidransky located?
59 DG Af Postgraduate Dental School, 2133 Pepperrell Street, Building 3352, Jbsa Lackland, TX 78236-5313.
What is the taxonomy code for Dr. Sidransky?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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