Provider Demographics
NPI:1629426051
Name:SIGLER, STEFFAN D (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEFFAN
Middle Name:D
Last Name:SIGLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 N KELLY AVE
Mailing Address - Street 2:NORTH OAKS SHOPPING CENTER
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-3906
Mailing Address - Country:US
Mailing Address - Phone:405-216-5299
Mailing Address - Fax:
Practice Address - Street 1:1308 N KELLY AVE
Practice Address - Street 2:NORTH OAKS SHOPPING CENTER
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-3906
Practice Address - Country:US
Practice Address - Phone:405-216-5299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6811122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist