P Praxis·MD
● Active Type 1 · Individual

Tyler Ross Siegford, DDS

Dentist·Spirit Lake, ID· NPI 1750275491 · Enumerated 2025 · 0 years on NPI
Siegford is 1 of 1 dentist providers in Spirit Lake and 1 of 1099 in Idaho.
NPI age
— years
Enumerated 2025-06-06
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1099 active dentist providers in Idaho.

NPI age
0 years
↓ 18 yr below median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-06Enumerated in NPPES
2025 2026

Where they practice

Practice location
6070 W Jackson St
Spirit Lake, ID 838697742
📞 2086236400fax 2086236464
Mailing address
Po Box 1389
Spirit Lake, ID 838691389
📞 2086236400fax 2086236464

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    ID license #8271966 taxonomy 1223G0001X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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