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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEFANUS H SISWANTO, DDS

Active

STEFANUS H SISWANTO, DDS is a General Dentistry healthcare provider located in DALLAS, Texas. NPI 1033271879 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · DALLAS, TX

Registration Details

NPI Number
1033271879
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2006 (19.678406298811 yrs)
Last Updated
Jul 20, 2009
License
22440 (TX)

Practice Information

Address
18181 MIDWAY RD STE 500
DALLAS, TX, 752878104
Browse TX providers · Browse ZIP 75287
Phone
9723065000
Fax
9723065009
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in DALLAS, TX

Name Credential NPI
DR. FREDERICK EVERETT AURBACH D.D.S. 1447253455
DR. JOHN ROSS STOOKSBERRY DDS 1306849021
DR. CHARLES CALVIN NUNNALLY II D.D.S. 1770586059
DR. TERREL R MYERS D.D.S. 1356343602
DR. RUSSELL W FIFE DDS 1518962562
DR. JOANNE GAY HOPPE DDS 1730184482
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.