Provider Demographics
NPI:1255902755
Name:RICHARD M SELTENRICH DMD PLLC
Entity type:Organization
Organization Name:RICHARD M SELTENRICH DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SELTENRICH
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-948-2333
Mailing Address - Street 1:434 HAVERHILL ST
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1914
Mailing Address - Country:US
Mailing Address - Phone:978-948-2333
Mailing Address - Fax:
Practice Address - Street 1:434 HAVERHILL ST
Practice Address - Street 2:
Practice Address - City:ROWLEY
Practice Address - State:MA
Practice Address - Zip Code:01969-1914
Practice Address - Country:US
Practice Address - Phone:978-948-2333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental