Provider Demographics
NPI:1841385036
Name:SEITZ ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, LLC.
Entity Type:Organization
Organization Name:SEITZ ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:E
Authorized Official - Last Name:SEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-848-8822
Mailing Address - Street 1:924 COLONIAL AVE STE H
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3450
Mailing Address - Country:US
Mailing Address - Phone:717-848-8822
Mailing Address - Fax:717-848-8116
Practice Address - Street 1:924 COLONIAL AVE STE H
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3450
Practice Address - Country:US
Practice Address - Phone:717-848-8822
Practice Address - Fax:717-848-8116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS016979L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty