Provider Demographics
NPI:1467467118
Name:SEEKINS, RONALD L (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:L
Last Name:SEEKINS
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 1:405 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-1311
Mailing Address - Country:US
Mailing Address - Phone:207-839-6266
Mailing Address - Fax:207-839-7019
Practice Address - Street 1:405 MAIN ST
Practice Address - Street 2:
Practice Address - City:GORHAM
Practice Address - State:ME
Practice Address - Zip Code:04038-1311
Practice Address - Country:US
Practice Address - Phone:207-839-6266
Practice Address - Fax:207-839-7019
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME27191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice