● Active Type 1 · Individual

DR. Boris J Sidow, DDS

Dentist·Augusta, GA· NPI 1588674733 · Enumerated 2006 · 19 years on NPI

Sidow is 1 of 23 dentist providers in Augusta and 1 of 358 in Georgia.

NPI age

19 years

Enumerated 2006-08-09

Primary specialty

Dentist

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2015-09-16

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 358 active dentist providers in Georgia.

NPI age

19 years

≈ at median (18 yr)

State licenses

1 state

14% of peers hold multiple states

Subspecialties

In the 25% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES

2006 2026

Where they practice

Practice location

3634 Wheeler Road

Augusta, GA 309096518

📞 7068608228fax 7068607222

Mailing address

3634 Wheeler Road

Augusta, GA 309096518

📞 7068608228fax 7068607222

Specialties

Dental Providers › Dentist

Dentist Primary

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

GA license #DN013478 taxonomy 1223S0112X
Dentist

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...

GA license #DN013478 taxonomy 122300000X

Identifiers

Type	Value	Notes
05 (GA)	111331508B

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.