Healthcare Provider Details

I. General information

NPI: 1437459393
Provider Name (Legal Business Name): DR. SIEGFRIED ARIEL NAUMANN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2010
Last Update Date: 10/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 NW BUCKLIN HILL RD
SILVERDALE WA
98383
US

IV. Provider business mailing address

3511 NW BUCKLIN HILL RD
SILVERDALE WA
98383
US

V. Phone/Fax

Practice location:
  • Phone: 360-377-2020
  • Fax: 360-337-2021
Mailing address:
  • Phone: 360-377-2020
  • Fax: 360-337-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number8314
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: