Steven R Sierakowski, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS036012 Issued in PA

Practice address

1786 Wilmington W Chester Pike Ste 100B
Glen Mills, PA 19342-8198

Phone

(610) 558-8283

Fax

(610) 558-9868

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1508889387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 WILMINGTON W CHESTER PIKE STE 100B",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428198",
            "telephone_number": "610-558-8283",
            "fax_number": "610-558-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 WILMINGTON W CHESTER PIKE STE 100B",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428198",
            "telephone_number": "610-558-8283",
            "fax_number": "610-558-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERAKOWSKI",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02300400",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DE",
            "license": "G1-0001284",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS036012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Shamus, LPC, LMHC, LPCMH
• Eric Bruce Shapiro, D.O.
• Katherine Larowe Sheaffer, OTR/L
• Angela Shouler
• Michele Siciliano, RPH
• Marissa H Simon, CCC-SLP
• Brittany Slaper, NP-C
• Slattery Dental PLLC
• James Spencer Slattery Jr., DMD
• Clare Alma Sloane, LCSW

• Periodontics in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.