Provider Demographics
NPI:1285858977
Name:SEYFRIED, JAMES WARREN (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:WARREN
Last Name:SEYFRIED
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 LIBRARY LN
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4488
Mailing Address - Country:US
Mailing Address - Phone:775-782-8176
Mailing Address - Fax:775-783-9176
Practice Address - Street 1:1624 LIBRARY LN
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4488
Practice Address - Country:US
Practice Address - Phone:775-782-8176
Practice Address - Fax:775-783-9176
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV22291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice