MEDICARE: DR. ARNOLD SIEGEL DDS

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
1	1223G0001X	General Practice Dentistry	11203	PA

General Provider Information

NPI Number	:	1730185901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNOLD SIEGEL DDS

Provider Business Mailing Address
First Line	:	6427 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3007
Country	:	US
Telephone Number	:	561-968-4555
Fax Number	:	561-968-6134

Provider Business Practice Location Address
First Line	:	6427 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3007
Country	:	US
Telephone Number	:	561-968-4555
Fax Number	:	561-968-6134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/08/2007

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