Provider Demographics
NPI:1780857599
Name:SEERY, PATRICIA L (RDH)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:L
Last Name:SEERY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14430 SPRING VALLEY CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67230-9588
Mailing Address - Country:US
Mailing Address - Phone:316-641-1861
Mailing Address - Fax:
Practice Address - Street 1:14430 SPRING VALLEY CIR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67230-9588
Practice Address - Country:US
Practice Address - Phone:316-641-1861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-12
Last Update Date:2008-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS824124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist