Provider Demographics
NPI:1659329530
Name:SELDIN, RICHARD DAVID (DMD, MPA)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DAVID
Last Name:SELDIN
Suffix:
Gender:M
Credentials:DMD, MPA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:50 PARK PL
Mailing Address - Street 2:SUITE 1540
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-4308
Mailing Address - Country:US
Mailing Address - Phone:973-643-1130
Mailing Address - Fax:973-643-1537
Practice Address - Street 1:50 PARK PL
Practice Address - Street 2:SUITE 1540
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-4308
Practice Address - Country:US
Practice Address - Phone:973-643-1130
Practice Address - Fax:973-643-1537
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ84601223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery