Individual
DR. STEVEN W. SEIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3002 CROSSING CT, CHAMPAIGN, IL 61822-6135
(217) 398-4867
Mailing address
1804 BENTBROOK DR, CHAMPAIGN, IL 61822-9218
(217) 352-2711
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021001261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
564197
UNITED CONCORDIA
IL
01
—
62113329
BLUE CROSS BLUE SHIELD AL
AL
01
—
A A F D E N 3 B B S
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
08/29/2005
Last updated
10/25/2016
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