Healthcare Provider Details

I. General information

NPI: 1033038427
Provider Name (Legal Business Name): MICHAEL M SIEW DDS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 NE RAVENNA BLVD
SEATTLE WA
98115-5566
US

IV. Provider business mailing address

916 NE RAVENNA BLVD
SEATTLE WA
98115-5566
US

V. Phone/Fax

Practice location:
  • Phone: 206-830-0634
  • Fax:
Mailing address:
  • Phone: 206-830-0634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL MAN-CHANG SIEW
Title or Position: OWNER AND MANAGING MEMBER
Credential: DDS, MD
Phone: 206-830-0634