Siebert, Jeffrey R.

Siebert, Jeffrey R. is an sole proprietor health care provider with primary practice located at 1422 W Main St Suite 202, Lewisville TX 75067-3331. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Siebert, Jeffrey R. can be contacted via phone (972) 436-0275.

Contact Information

Primary practice address
1422 W Main St Suite 202 Lewisville TX 75067-3331
Phone: (972) 436-0275
Fax: (972) 219-3931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19729 Texas

Profile Details

NPI number 1457499378
LBN Legal business name Siebert, Jeffrey R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457499378 NPPES
Texas Other 21667 STATE DENTAL LICENSE #
Texas Other 9582 STATE DENTAL LICENSE #

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