Lisa H Siddall DDS PC
Organization Active NPI Dentist · Leland, MI
NPI 1700924933 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1700924933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 16320 (MI)
- Legal business name
- LISA H SIDDALL DDS PC
- Practice address
- 407 S Main
Leland, MI 49634 - Phone
- (231) 256-9142
- Fax
- (231) 256-9131
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Lisa H Siddall, DDS
- Title
- President
- Phone
- (231) 256-9142
Practitioners 1
-
Lisa H Siddall, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 16320 | MI | Yes |
Addresses
Primary practice location
407 S Main
Leland, MI 49634
Mailing address
PO Box 1133
407 S Main
Leland, MI 49634
Phone (231) 256-9142
Other providers in Leland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.