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Dr. Katie Park Siegel, DDS
Pediatric Dentist in Riverview, Florida
NPI 1033745344

Katie Park Siegel is a Pediatric Dentist based in Riverview, FL and is specialized in Pediatric Dentistry. Katie Park Siegel practices in Riverview, FL and has the professional credentials of DDS. The NPI Number for Katie Park Siegel is 1033745344 and holds a License No. (Florida).

The current practice location address for Katie Park Siegel is 11246 Sullivan St, Riverview, FL and can be reached out via phone at 813-530-0111.

Location: 11246 Sullivan St, Riverview, FL, 33578-4705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033745344
Provider Name
Katie Park Siegel
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
11246 Sullivan St, Riverview, FL, 33578-4705
Phone Number
813-530-0111
Fax Number
Provider Enumeration Date
03/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11246 Sullivan St
City
Riverview
State
Florida
Zip
33578-2140
Phone Number
813-530-0111
Fax Number
person
Provider Business Mailing Address Details
Address
11246 Sullivan St
City
Riverview
State
Florida
Zip
33578-2140
Phone Number
813-530-0111
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN26203 (Florida)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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