Provider Demographics
NPI:1528226560
Name:SIEWE, MARIANNE S T (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:S T
Last Name:SIEWE
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:MARIANNE
Other - Middle Name:S
Other - Last Name:SIEWE TCHAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:2277 BEL PRE RD STE 206
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2201
Mailing Address - Country:US
Mailing Address - Phone:301-460-0770
Mailing Address - Fax:301-460-1308
Practice Address - Street 1:2277 BEL PRE RD STE 206
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2201
Practice Address - Country:US
Practice Address - Phone:301-460-0770
Practice Address - Fax:301-460-1308
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC10004471223X0400X
MD134641223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics