Luke Gustave Siskoff, DDS

General Practice Dentistry · Apple Valley, MN

Individual Active NPI

NPI number 1649339136

Practice location

14990 Glazier Ave
#100
Apple Valley, MN 55124-7818
Phone
(952) 431-5114
Fax
(952) 431-3576

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NPI record

NPI
1649339136
Entity type
Individual (Type 1)
Enumeration date
December 8, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D10276 MN

Mailing address

1248 Pioneer Ln
Shakopee, MN 55379-3463
Phone
(952) 496-3456

About Dr. Siskoff

Luke Gustave Siskoff, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 14990 Glazier Ave, #100, Apple Valley, MN 55124-7818. The NPI number 1649339136 was assigned on December 8, 2006 and the record was last updated on July 8, 2007.

Dr. Siskoff lists a license in the registry: #D10276 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Luke Gustave Siskoff, DDS?

The NPI number is 1649339136.

What is the phone number of Dr. Siskoff?

The phone number listed for the practice location is (952) 431-5114.

Where is Dr. Siskoff located?

14990 Glazier Ave, #100, Apple Valley, MN 55124-7818.

What is the taxonomy code for Dr. Siskoff?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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