Provider Demographics
NPI:1972282408
Name:JOSEPH SEASE DMD PLCC
Entity Type:Organization
Organization Name:JOSEPH SEASE DMD PLCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEASE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-998-9826
Mailing Address - Street 1:2531 AVALON CIR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-6356
Mailing Address - Country:US
Mailing Address - Phone:503-998-9826
Mailing Address - Fax:
Practice Address - Street 1:10480 WALDEN ST
Practice Address - Street 2:
Practice Address - City:SODDY DAISY
Practice Address - State:TN
Practice Address - Zip Code:37379-5441
Practice Address - Country:US
Practice Address - Phone:423-332-5544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty