Provider Demographics
NPI:1649391459
Name:SEIFERT, TENIEL LYNNETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TENIEL
Middle Name:LYNNETTE
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1898 DENVER WEST CT APT 1221
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-0928
Mailing Address - Country:US
Mailing Address - Phone:720-371-9770
Mailing Address - Fax:
Practice Address - Street 1:25597 CONFIER ROAD SUITE 100
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433
Practice Address - Country:US
Practice Address - Phone:303-838-2811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO93651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice