# DR. JARED BENJAMIN SIEGEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740818848
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 019.032902 | IL | Yes |
| 1223G0001X | General Practice Dentistry | 12013641A | IN | — |

## Other

- **Enumeration date:** 04/01/2020
- **Last updated:** 01/21/2025