Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennifer Marie Stidham, DMD

Individual provider General Practice Dentistry · NPI 1396843330

Dr. Jennifer Marie Stidham, DMD is a General Practice Dentistry in Bartow, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

620 E Davidson St
Bartow, FL 33830-4051
Phone: (863) 533-4331
Fax: (863) 534-1168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10646 (FL)

Record details

NPI number1396843330
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 8, 2007

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