STEFANUS H SISWANTO DDS
NPI 1033271879
Dentist - General Practice in Dallas, TX

Q: What is Stefanus Siswanto's NPI number?

The NPI number for Stefanus Siswanto is 1033271879. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Q: What is Stefanus Siswanto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Stefanus Siswanto was last updated on July 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2006

18181 MIDWAY RD STE 500, DALLAS, TX 75287(972) 306-5000(972) 306-5009 Get Directions Write a Review

NPPES record last updated: July 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stefanus H Siswanto Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFANUS H SISWANTO DDS (NPI 1033271879) is an individual general practice provider in Dallas, Texas, licensed in Texas (22440) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1033271879

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSTEFANUS H SISWANTOCredential: DDS

Location Address18181 MIDWAY RD STE 500Dallas, TX 75287-8104

Mailing Address5304 Saint Croix CtRichardson, TX 75082-4134 · (972) 881-3757

Phone(972) 306-5000

Fax(972) 306-5009

Sole ProprietorNo

Enumeration DateDecember 15, 2006

Last NPPES UpdateJuly 20, 2009

✔ NPI 1033271879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 22440

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

18181 MIDWAY RD STE 500, Dallas, TX 75287

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFANUS SISWANTO DDS PLLC

Dentist (General Practice)

18181 MIDWAY RD STE 500
DALLAS, TX 75287

Collin County (214) 934-2198

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stefanus Siswanto's NPI number?

The NPI number for Stefanus Siswanto is 1033271879. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Stefanus Siswanto located?

Stefanus Siswanto practices at 18181 Midway Rd Ste 500, Dallas, TX 75287. The listed phone number is (972) 306-5000.

What is Stefanus Siswanto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Stefanus Siswanto accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Stefanus Siswanto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stefanus Siswanto was last updated on July 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.