1053410050

Everything you always wanted to know about DR. SIEGEL BRIAN STUART DDS but were afraid to ask.

DR. SIEGEL BRIAN STUART DDS

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. SIEGEL BRIAN STUART DDS
Gender:
Male
Enumeration date:
2006-09-22
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
0777595 Medicaid none FL

Taxonomies

Taxonomy State License Number Primary?
122300000X Dentist FL FL6143 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 8504353111
Practice Location Address Telephone Number 8504353111
Mailing Address Fax Number 8504353198
Practice Location Address Fax Number 8504353198

Addresses

Type Address City State Postal Country
Mailing Address 2915 E CERVANTES ST PENSACOLA FL 32503 FL
Practice Location Address 2915 E CERVANTES ST PENSACOLA FL 32503 FL

Other NPI Records that share a phone number

NPI Name Address State City
1154844371 GOMEZ DENTISTRY PLLC
Organization
2915 E CERVANTES ST FL PENSACOLA
1366409807 COPENHAVER, LAWRENCE
Individual
2915 E CERVANTES ST FL PENSACOLA
1518227933 GOMEZ, CHRISTOPHER
Individual
2915 E CERVANTES ST FL PENSACOLA

Other NPI Records that share an address

NPI Name Address State City
1154844371 GOMEZ DENTISTRY PLLC
Organization
2915 E CERVANTES ST FL PENSACOLA
1366409807 COPENHAVER, LAWRENCE
Individual
2915 E CERVANTES ST FL PENSACOLA
1518227933 GOMEZ, CHRISTOPHER
Individual
2915 E CERVANTES ST FL PENSACOLA