Provider Demographics
NPI:1306849260
Name:SEIBERT, JEFF M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:M
Last Name:SEIBERT
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 1:606 S SEVEN POINTS DR
Mailing Address - Street 2:# 2
Mailing Address - City:SEVEN POINTS
Mailing Address - State:TX
Mailing Address - Zip Code:75143-9117
Mailing Address - Country:US
Mailing Address - Phone:903-432-2292
Mailing Address - Fax:903-432-3158
Practice Address - Street 1:606 S SEVEN POINTS DR
Practice Address - Street 2:# 2
Practice Address - City:SEVEN POINTS
Practice Address - State:TX
Practice Address - Zip Code:75143-9117
Practice Address - Country:US
Practice Address - Phone:903-432-2292
Practice Address - Fax:903-432-3158
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19808122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist