DR. JENNIFER MARIE STIDHAM (DMD) – General Practice Dentistry, NPI 1396843330

DR. JENNIFER MARIE STIDHAM (DMD) is a healthcare provider. based in Bartow, Florida. specializing in General Practice Dentistry. They hold the professional credentials DMD. They hold a License No. 10646 (FL). The NPI Number for DR. JENNIFER MARIE STIDHAM (DMD) is 1396843330

Main info

Female
Sole Proprietor
Name
DR. JENNIFER MARIE STIDHAM (DMD)
NPI
1396843330
Phone
(863) 533-4331
Address
620 E DAVIDSON ST
Enumeration Date
21 September 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JENNIFER MARIE STIDHAM (DMD)

  • 620, East Davidson Street, Bartow, Polk County, Florida, 33830, United States

    BARTOW, FL 338304051

    Phone: (863) 533-4331

    Fax: (863) 534-1168

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-02-25 • Largest payer in this snapshot: Dentsply Sirona Inc ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dentsply Sirona Inc$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33830)

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Reviews

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Frequently asked questions

Where can patients find DR. JENNIFER MARIE STIDHAM (DMD)'s NPI?
You can confirm DR. JENNIFER MARIE STIDHAM (DMD) with NPI 1396843330; it appears in the national provider directory.
Is DR. JENNIFER MARIE STIDHAM (DMD)'s NPI currently valid?
The extract we use shows DR. JENNIFER MARIE STIDHAM (DMD) as active.
What field does DR. JENNIFER MARIE STIDHAM (DMD) work in?
You can think of DR. JENNIFER MARIE STIDHAM (DMD) as practicing within General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JENNIFER MARIE STIDHAM (DMD)?
The snapshot lists Bartow, Florida for DR. JENNIFER MARIE STIDHAM (DMD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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