Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Katie Park Siegel, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033745344

Dr. Katie Park Siegel, DDS is a Student in an Organized Health Care Education/Training Program in Riverview, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11246 Sullivan St
Riverview, FL 33578-2140
Phone: (813) 530-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN26203 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033745344
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 18, 2020
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

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