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NPI Code Detail

MEDICARE: DR. CHERYL A. SIEGEL D.D.S.

MEDICARE:  DR. CHERYL A. SIEGEL  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist5679NC

General Provider Information

NPI Number : 1639106057
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERYL A. SIEGEL D.D.S.
Provider Business Mailing Address
First Line : 4505 FAIR MEADOWS LN
Second Line : 209
City : RALEIGH
State : NC
Zip : 27607-6465
Country : US
Telephone Number : 919-881-9258
Fax Number : 919-881-9637
Provider Business Practice Location Address
First Line : 4505 FAIR MEADOWS LN
Second Line : 209
City : RALEIGH
State : NC
Zip : 27607-6465
Country : US
Telephone Number : 919-881-9258
Fax Number : 919-881-9637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHERYL A. SIEGEL D.D.S.” Practice Location

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