Provider Demographics
NPI:1366671190
Name:SEEKAND, PRIYANKA (DMD)
Entity Type:Individual
Prefix:
First Name:PRIYANKA
Middle Name:
Last Name:SEEKAND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 COBBLESTONE CIR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-4908
Mailing Address - Country:US
Mailing Address - Phone:678-520-9398
Mailing Address - Fax:
Practice Address - Street 1:1200 ERNEST W BARRETT PKWY NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7557
Practice Address - Country:US
Practice Address - Phone:678-354-0079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAN/A122300000X
GADSO14536122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist