Provider Demographics
NPI:1962460139
Name:SEILER, KATHLEEN B (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:B
Last Name:SEILER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:BRYANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:DILLWYN
Mailing Address - State:VA
Mailing Address - Zip Code:23936-0069
Mailing Address - Country:US
Mailing Address - Phone:434-983-2826
Mailing Address - Fax:434-983-2714
Practice Address - Street 1:15911 N MADISON HIGHWAY
Practice Address - Street 2:SUITE 1
Practice Address - City:DILLWYN
Practice Address - State:VA
Practice Address - Zip Code:23936
Practice Address - Country:US
Practice Address - Phone:434-983-2826
Practice Address - Fax:434-983-2714
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014105891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice