Individual provider · Type 1 NPI
Katie Park Siegel, DDS
Pediatric Dentistry · Riverview, FL
NPI number
1033745344
Active
Practice location
11246 Sullivan St
Riverview, FL 33578-2140
Mailing address
10623 Cardera Dr
Riverview, FL 33578-4705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | DN26203 (FL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Riverview
About NPI 1033745344
Katie Park Siegel, DDS's National Provider Identifier is 1033745344, issued on Mar 18, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Riverview, FL. The record was last updated on Oct 19, 2023.