Provider Demographics
NPI:1336309558
Name:PULVER, SETH H (DDS)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:H
Last Name:PULVER
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 1:207 ROUTE 32
Mailing Address - Street 2:
Mailing Address - City:CENTRAL VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10917-3607
Mailing Address - Country:US
Mailing Address - Phone:845-928-5275
Mailing Address - Fax:845-928-5279
Practice Address - Street 1:207 ROUTE 32
Practice Address - Street 2:
Practice Address - City:CENTRAL VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10917-3607
Practice Address - Country:US
Practice Address - Phone:845-928-5275
Practice Address - Fax:845-928-5279
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0421231223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics