Provider Demographics
NPI:1245427418
Name:SEASE, JOSEPH MATURO (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MATURO
Last Name:SEASE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2531 AVALON CIR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-6356
Mailing Address - Country:US
Mailing Address - Phone:503-998-9826
Mailing Address - Fax:
Practice Address - Street 1:10480 WALDEN ST
Practice Address - Street 2:
Practice Address - City:SODDY DAISY
Practice Address - State:TN
Practice Address - Zip Code:37379-5441
Practice Address - Country:US
Practice Address - Phone:770-692-1000
Practice Address - Fax:678-444-4152
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0136511223P0221X, 1223G0001X
TN121681223P0221X
ORD90101223P0221X
MI2901020464122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist