Provider Demographics
NPI:1437219243
Name:SELIPSKY, HERBERT - (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:-
Last Name:SELIPSKY
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DR. H.SELIPSKY, 3828 NE 151ST STREET
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98155
Mailing Address - Country:US
Mailing Address - Phone:206-365-8486
Mailing Address - Fax:206-364-3334
Practice Address - Street 1:1001 BROADWAY
Practice Address - Street 2:SUITE 311
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4397
Practice Address - Country:US
Practice Address - Phone:206-323-7659
Practice Address - Fax:206-323-0733
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA44021223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics