Daniel Mackenzie Stegall

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35751 Issued in TX

Practice address

5757 W Lovers LN Ste 109
Dallas, TX 75209-7115

Phone

(214) 227-6775

NPI assigned

May 8, 2018

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacob Dent, DDS Lafayette Modern Dentistry, a Professional Corporation

  dba Lafayette Modern Dentistry

  • Dentist
  • Lafayette, LA
  • NPI 1538530381
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1023507878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7637 LA RISA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484336",
            "telephone_number": "479-597-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W LOVERS LN STE 109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752097115",
            "telephone_number": "214-227-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4243 Ambassador Caffery Pkwy Ste 118",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705087268",
            "country_code": "US",
            "telephone_number": "337-422-3587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEGALL",
        "first_name": "DANIEL",
        "middle_name": "MACKENZIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857943",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7772",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35751",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanus Siswanto DDS PLLC (Midway Family Dentistry)
• Haden A. Steffek, M.D.
• Clark Wilson Steffens I, DDS
• Matthew Ryan Steffer, D.D.S.
• Clinton Scott Steffey, M.D.
• Forrest Wayne Stegall, CRNA
• William C. Stegall, MD
• Shelby Stegemann
• Alan Lee Steglich, DDS
• Terence Richard Stegman, P.T.

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.