DR. LISA H SIDDALL (NPI# 1174725220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174725220 |
| Entity Type | Individual |
| Full Name | DR. LISA H SIDDALL |
| Credential | D.D.S. |
| Practice Address |
407 South Main Leland MI 49654 |
| Mailing Address |
Po Box 1133 Leland MI 49654-1133 |
| Practice Telephone | 2312569142 |
| Practice Fax Number | 2312569131 |
| Mailing Telephone | 2312569142 |
| Mailing Fax Number | 2312569131 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901016320 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972650109 | Lisa J Siddall | Nurse Practitioner | 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166-6580 | 2007-01-03 |
| Street Address |
407 SOUTH MAIN |
| City | LELAND |
| State | MI |
| Zip Code | 49654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972534469 | Township of Leland | Ambulance | 201 Grand Avenue, Leland, MI 49654-0578 | 2006-07-05 |
| 1154884948 | West Bay Mental Wellness, Pllc | Clinic/Center | 407 S Main St, Leland, MI 49654-5037 | 2019-04-09 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067991 | Drs Boyd Koren and Reimels Pllc | Dentist | 117 Village Rd Ne # H, Leland, NC 28451-7413 | 2020-09-11 |
| 1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
| 1467066076 | Christopher Mckechnie | Chiropractor | 827 Heart Wood Loop Rd Ne, Leland, NC 28451-9419 | 2020-09-01 |
| 1528671997 | Antoinette L Williams | Adult Companion | 1727 Pepperwood Way, Leland, NC 28451-9393 | 2020-08-26 |
| 1194349407 | Michelakis and Associates Pa | Clinic/Center | 1132 New Pointe Blvd Ste 4, Leland, NC 28451-4257 | 2020-06-02 |
| 1548880115 | S. Gibree, D.m.d., P.C. | Dentist | 3572 Leland Town Center Dr Ste 140, Leland, NC 28451-0680 | 2020-04-23 |
| 1881227080 | Leana Subrena Hall | Social Worker | 4232 M Hall Ln Ne, Leland, NC 28451-7976 | 2020-02-16 |
| 1962033381 | Alexandra Sheppard | Behavior Technician | 5078 Tradeway Dr, Leland, NC 28451-4278 | 2020-02-04 |
| 1790329423 | Jennifer Wester Griffin | Social Worker | 1116 Amber Pines Dr, Leland, NC 28451-9240 | 2019-11-06 |
| 1164083507 | Matthew Ray | Counselor | 703 E 3rd St, Leland, MS 38756-2903 | 2019-06-26 |
| Find all providers in LELAND | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067991 | Drs Boyd Koren and Reimels Pllc | Dentist | 117 Village Rd Ne # H, Leland, NC 28451-7413 | 2020-09-11 |
| 1548880115 | S. Gibree, D.m.d., P.C. | Dentist | 3572 Leland Town Center Dr Ste 140, Leland, NC 28451-0680 | 2020-04-23 |
| 1174015424 | Danielle M Gough | Dentist | 1215 W Gate Dr Ste 180, Leland, NC 28451-8233 | 2018-06-02 |
| 1720596158 | James A. Poe, D.d.s. and Associates, Pllc | Dentist | 2029 Olde Regent Way Ste 150, Leland, NC 28451-4196 | 2018-01-19 |
| 1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
| 1114173135 | Jonathan S. Ludwig, Dmd, Pa | Dentist | 1014 Grandiflora Dr, Suite B, Leland, NC 28451-7454 | 2008-08-10 |
| 1790987774 | Charles Richardson Biggerstaff | Dentist | 1300 S Dickinson Dr, Leland, NC 28451-6430 | 2007-06-02 |
| 1538221593 | Anthony J Michelakis | Dentist | 1132 New Pointe Blvd., Unit 4, Leland, NC 28451-4257 | 2006-12-15 |
| 1336246719 | Walter Bright Futch Jr. | Dentist | 1006 Northgate Dr., Leland, NC 28451 | 2006-09-20 |
| 1972119352 | Duke Osita Okeke | Dentist | 1215 W Gate Dr Ste 180, Leland, NC 28451-0437 | 2020-09-21 |
| Find all providers in LELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.