Organization
JARED B SIEGEL DDS PC
Active
Other names
Noble Dentistry of Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED BENJAMIN SIEGEL DDS (DENTIST)
(631) 374-8567
Entity
Organization
Contact information
Practice address
3052 N LINCOLN AVE, CHICAGO, IL 60657-4286
(773) 997-1979
Mailing address
3052 N LINCOLN AVE, CHICAGO, IL 60657-4286
(773) 997-1979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740818848
INSURANCE
IL
05
—
1740818848
—
IL
Enumeration date
07/26/2022
Last updated
01/21/2025
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