Individual
DR. JARED BENJAMIN SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
41 US HIGHWAY 41, SCHERERVILLE, IN 46375-1201
(219) 336-8571
Mailing address
205 S PEORIA ST APT 1219, CHICAGO, IL 60607-3129
(631) 374-8567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032902
IL
1223G0001X
General Practice Dentistry
12013641A
IN
Other
Enumeration date
04/01/2020
Last updated
01/21/2025
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