Provider Demographics
NPI:1255767406
Name:SEAGER, DENNIS CRAIG (DDS-MSD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:CRAIG
Last Name:SEAGER
Suffix:
Gender:M
Credentials:DDS-MSD
Other - Prefix:DR
Other - First Name:CRAIG
Other - Middle Name:
Other - Last Name:SEAGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS-MSD
Mailing Address - Street 1:4144 S TIMBERLINE RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-6029
Mailing Address - Country:US
Mailing Address - Phone:970-226-6443
Mailing Address - Fax:970-266-2741
Practice Address - Street 1:4144 S TIMBERLINE RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-6029
Practice Address - Country:US
Practice Address - Phone:970-226-6443
Practice Address - Fax:970-266-2741
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO99621223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics