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

Stefanus H Siswanto, DDS

Individual provider General Practice Dentistry · NPI 1033271879

Stefanus H Siswanto, DDS is a General Practice Dentistry in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
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

18181 Midway Rd Ste 500
Dallas, TX 75287-8104
Phone: (972) 306-5000
Fax: (972) 306-5009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22440 (TX)

Record details

NPI number1033271879
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 20, 2009
Mailing address5304 Saint Croix Ct, Richardson, TX 75082-4134

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