Active NPI
Michael Alan Siegel, DDS, MS
- Oral and Maxillofacial Pathology Dentistry
- Davie, FL
National Provider Identifier
1245235514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- DTP383
- Practice address
- 3481 Southern Orchard Rd E
Davie, FL 33328-6962 - Phone
- (954) 473-9998
- Fax
- (954) 262-3882
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 7114 | MD | |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | DTP383 | FL | Primary |
Addresses
Primary practice location
3481 Southern Orchard Rd E
Davie, FL 33328-6962
Mailing address
3481 Southern Orchard Rd E
Davie, FL 33328-6962
Phone (954) 473-9998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7114 | MD | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245235514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3481 SOUTHERN ORCHARD RD E",
"city": "DAVIE",
"state": "FL",
"postal_code": "333286962",
"telephone_number": "954-473-9998",
"fax_number": "954-262-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3481 SOUTHERN ORCHARD RD E",
"city": "DAVIE",
"state": "FL",
"postal_code": "333286962",
"telephone_number": "954-473-9998",
"fax_number": "954-262-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "MD",
"license": "7114",
"primary": false
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "FL",
"license": "DTP383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.