Provider Demographics
NPI:1033261565
Name:SEDAN, DONALD GUY (DMD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:GUY
Last Name:SEDAN
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:955 SOUTH GEORGE STREET
Mailing Address - Street 2:DONALD G SEDAN COLONIAL MEDICAL CENTER
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3799
Mailing Address - Country:US
Mailing Address - Phone:717-854-1803
Mailing Address - Fax:717-843-6785
Practice Address - Street 1:955 SOUTH GEORGE STREET
Practice Address - Street 2:COLONIAL MEDICAL CENTER
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3799
Practice Address - Country:US
Practice Address - Phone:717-854-1803
Practice Address - Fax:717-843-6785
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS018190L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice