National Provider Identifier

Gina M Siegel, DDS

Gina M Siegel, DDS is listed in the NPPES registry with a primary specialty of Endodontics in Snyder, NY and a listed phone number of (716) 839-1470.

NPI 1063744159Snyder, NYEndodontics

Profile Overview

NPI
1063744159
Provider Type
Individual
Primary Specialty
Endodontics
Enumeration Date
February 01, 2010
Last Updated
January 13, 2020

Practice Location

  • 4575 Main St
  • Suite 4
  • Snyder, NY 14226-4567

Phone: (716) 839-1470

Specialties

  • Endodontics (1223E0200X)
  • Endodontics (1223E0200X)
Full Record
NPI
1063744159
Entity Type
Individual
Last Name
Siegel
First Name
Gina
Middle Name
M
Name Prefix
Dr.
Credential
DDS
Provider Other Last Name
Cavaretta
Provider Other First Name
Gina
Provider Other Credential Text
DDS
Provider Other Last Name Type Code
2
Mailing Street Address
4575 Main St
Mailing Address Line 2
Suite 4
Mailing City
Snyder
Mailing State
NY
Mailing ZIP Code
14226-4567
Mailing Country
US
Practice Street Address
4575 Main St
Practice Address Line 2
Suite 4
Practice City
Snyder
Practice State
NY
Practice ZIP Code
14226-4567
Practice Country
US
Practice Phone
(716) 839-1470
Enumeration Date
February 01, 2010
Last Updated
January 13, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 13, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Endodontics (1223E0200X), Endodontics (1223E0200X)