Provider Demographics
NPI:1821514589
Name:SEIBT, ERIK JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:JAMES
Last Name:SEIBT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 WETZEL AVE BLDG 815
Mailing Address - Street 2:
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4095
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:APO, AE 09114
Practice Address - Street 2:
Practice Address - City:GRAFENWOEHR
Practice Address - State:GERMANY
Practice Address - Zip Code:0941140001
Practice Address - Country:DE
Practice Address - Phone:859-992-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9994122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist