Provider Demographics
NPI:1205955820
Name:SELTZER, ALLEN P (DDS)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:P
Last Name:SELTZER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1464 GLENBROOK LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-6615
Mailing Address - Country:US
Mailing Address - Phone:610-692-3223
Mailing Address - Fax:610-692-4121
Practice Address - Street 1:1450 E BOOT RD
Practice Address - Street 2:SUITE 200E
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5300
Practice Address - Country:US
Practice Address - Phone:610-692-8922
Practice Address - Fax:610-692-4121
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021818L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice