Tyler Ross Siegford, DDS is a
Dentist - General Practice based in Spirit Lake, Idaho. Tyler Ross Siegford is licensed to practice in Idaho (license number 8271966) and his current practice location is
6070 W Jackson St, Spirit Lake, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 623-6400.
NPI number for Tyler Ross Siegford is 1750275491 and his current mailing address is Po Box 1389, Spirit Lake, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750275491.
Healthcare Provider's Profile
Full Name | Tyler Ross Siegford |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 6070 W Jackson St, Spirit Lake, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750275491
- Provider Enumeration Date: 06/06/2025
- Last Update Date: 06/06/2025
Medical Identifiers
Medical identifiers for Tyler Ross Siegford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750275491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 8271966 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Ross Siegford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tyler Ross Siegford, DDS Po Box 1389, Spirit Lake, ID 83869-1389 Ph: (208) 623-6400 | Tyler Ross Siegford, DDS 6070 W Jackson St, Spirit Lake, ID 83869-7742 Ph: (208) 623-6400 |
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