Provider Demographics
NPI:1417179540
Name:ALBERT G SEID DDS & HUBERT G SEID DDS A PROFESSIONAL CORPATION
Entity Type:Organization
Organization Name:ALBERT G SEID DDS & HUBERT G SEID DDS A PROFESSIONAL CORPATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:SEID
Authorized Official - Suffix:
Authorized Official - Credentials:DDA
Authorized Official - Phone:408-926-0500
Mailing Address - Street 1:1239 PIEDMONT ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132
Mailing Address - Country:US
Mailing Address - Phone:408-926-0500
Mailing Address - Fax:
Practice Address - Street 1:1239 PIEDMONT ROAD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132
Practice Address - Country:US
Practice Address - Phone:408-926-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22918122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty