OrganizationActive
Stefanus Siswanto DDS PLLC
NPI 1033385497 · General Practice Dentistry · Dallas, TX
Stefanus Siswanto DDS PLLC is a General Practice Dentistry organization in Dallas, TX (NPI 1033385497).
Provider details
- NPI number
- 1033385497
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stefanus Siswanto, President(214) 934-2198
- License
- 22440 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18181 Midway Rd Ste 500
Dallas, TX 75287-8104
Phone: (214) 934-2198
Street-level locationGet directions
Mailing address
18181 Midway Rd Ste 500
Dallas, TX 75287-8104
Other names (DBA / former)
- Doing business as
- Midway Family Dentistry
Registry dates
- Enumerated
- 2008-05-06
- Last updated
- 2008-05-06
Frequently asked questions
- What is Stefanus Siswanto DDS PLLC's NPI number?
- Stefanus Siswanto DDS PLLC's National Provider Identifier (NPI) is 1033385497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stefanus Siswanto DDS PLLC?
- Stefanus Siswanto DDS PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Stefanus Siswanto DDS PLLC located?
- Stefanus Siswanto DDS PLLC's practice location on file with NPPES is 18181 Midway Rd Ste 500, Dallas, TX 75287-8104.
- What is Stefanus Siswanto DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Stefanus Siswanto DDS PLLC is (214) 934-2198.
- Who is the authorized official for Stefanus Siswanto DDS PLLC?
- The authorized official listed on Stefanus Siswanto DDS PLLC's NPPES record is Stefanus Siswanto, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stefanus Siswanto DDS PLLC's NPI active?
- Yes — Stefanus Siswanto DDS PLLC's NPI (1033385497) is active in the NPPES registry as of the last update on 2008-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.