Provider Demographics
NPI:1669729398
Name:PEPPER, SETH BARRETT (DMD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:BARRETT
Last Name:PEPPER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 WILD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6747
Mailing Address - Country:US
Mailing Address - Phone:863-558-0420
Mailing Address - Fax:
Practice Address - Street 1:4500 MONTEVALLO RD STE B105
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-3128
Practice Address - Country:US
Practice Address - Phone:205-595-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5964122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist