Stefanus Siswanto Dds Pllc in Dallas - General Practice
Stefanus Siswanto Dds Pllc - NPI 1033385497
Stefanus Siswanto Dds Pllc is a General Practice in Dallas, Texas. Stefanus Siswanto Dds Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stefanus Siswanto Dds Pllc is 1033385497. The last update date is 2008-05-06.
Stefanus Siswanto Dds Pllc's current location address is 18181 Midway Rd Ste 500, Dallas, Texas. You can contact this provider via phone number 2149342198. The mailing address for Stefanus Siswanto Dds Pllc is 18181 Midway Rd Ste 500, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stefanus Siswanto Dds Pllc |
|---|---|
| Address | 18181 Midway Rd Ste 500, Dallas, Texas |
| Phone Number | 2149342198 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Siswanto H Stefanus |
| Credentials | DDS |
| Telephone Number | 2149342198 |
NPI Number Detail
| NPI Number | 1033385497 |
|---|---|
| Provider Enumeration Date | 2008-05-06 |
| Last Updated Date | 2008-05-06 |
Provider Mailing Address Detail
| Address | 18181 Midway Rd Ste 500 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752878104 |
| Phone Number | 2149342198 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 22440 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Stefanus Siswanto Dds Pllc by the Centers for Medicare & Medicaid Services?
The Stefanus Siswanto Dds Pllc has been issued the NPI (National Provider Identifier) 1033385497. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Stefanus Siswanto Dds Pllc is geographically located?
The Stefanus Siswanto Dds Pllc is physically situated at the following location: 18181 Midway Rd Ste 500, Dallas, TX, 752878104.
What is Stefanus Siswanto Dds Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stefanus Siswanto Dds Pllc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the Stefanus Siswanto Dds Pllc receive its 1033385497?
The Stefanus Siswanto Dds Pllc was issued its 1033385497 on 2008-05-06, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Stefanus Siswanto Dds Pllc most recently updated or revised?
The details related to Stefanus Siswanto Dds Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-06.