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NPI Code Detail

MEDICARE: DR. SHARON CRANE SIEGEL DDS, MS

MEDICARE: DR. SHARON CRANE SIEGEL DDS, MS
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
11223P0700XProsthodontics7115MD

General Provider Information

NPI Number : 1861495525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARON CRANE SIEGEL DDS, MS
Provider Business Mailing Address
First Line : 3481 SOUTHERN ORCHARD RD E
Second Line :
City : DAVIE
State : FL
Zip : 33328-6962
Country : US
Telephone Number : 954-262-7379
Fax Number :
Provider Business Practice Location Address
First Line : 3200 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2018
Country : US
Telephone Number : 954-262-7379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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