Midway Family Dentistry

LBN: Stefanus Siswanto Dds Pllc
Midway Family Dentistry is an health care organization with primary practice located at 18181 Midway Rd Ste 500 , Dallas TX 75287-8104. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Stefanus Siswanto Dds Pllc can be contacted via phone (214) 934-2198, or through Siswanto, Stefanus H via phone (214) 934-2198.

Contact Information

Primary practice address
18181 Midway Rd Ste 500 Dallas TX 75287-8104
Phone: (214) 934-2198
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Siswanto, Stefanus H Doctor of Dental Surgery (DDS)
Phone: (214) 934-2198

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22440 Texas

Profile Details

NPI number 1033385497
LBN Legal business name Stefanus Siswanto Dds Pllc
DBA Doing business as Midway Family Dentistry
Authorized official Siswanto, Stefanus H Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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