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Contact Information

LISA H SIDDALL, DDS
407 SOUTH MAIN
LELAND, MI49654
 Phone: 231-256-9142
 Fax: 231-256-9131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LISA H SIDDALL · (Female)

NPI # 1174725220
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 2901016320
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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