Stefanus H Siswanto is a Dallas, Texas based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Stefanus H Siswanto is 22440 for General Practice Dentistry in Texas. His current practice location is 18181 Midway Rd Ste 500, Dallas. Patients can reach him at 972-306-5000.
Stefanus H Siswanto is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Stefanus H Siswanto speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1033271879
NPI Enumeration Date:
15 Dec, 2006
NPI Last Update On:
20 Jul, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stefanus H Siswanto are as mentioned below.
License Number
Specialization
State
Status
22440
General Practice Dentistry
Texas
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5304 Saint Croix Ct, Richardson, Texas
Zip:
75082-4134
Phone Number:
972-881-3757
Patients can reach Stefanus H Siswanto at 18181 Midway Rd Ste 500, Dallas, Texas or can call to book an appointment on 972-306-5000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.