Provider Demographics
NPI:1619982360
Name:RONALD L. SEEKINS, D.D.S.,P.A.
Entity Type:Organization
Organization Name:RONALD L. SEEKINS, D.D.S.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:207-839-6266
Mailing Address - Street 1:405 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-1311
Mailing Address - Country:US
Mailing Address - Phone:207-839-6266
Mailing Address - Fax:207-839-7019
Practice Address - Street 1:405 MAIN ST
Practice Address - Street 2:
Practice Address - City:GORHAM
Practice Address - State:ME
Practice Address - Zip Code:04038-1311
Practice Address - Country:US
Practice Address - Phone:207-839-6266
Practice Address - Fax:207-839-7019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME27191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty