Provider Demographics
NPI:1750526349
Name:SELTZER, FREDERICK ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:ARTHUR
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 1:433 ATLANTIC AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-1483
Mailing Address - Country:US
Mailing Address - Phone:516-887-3555
Mailing Address - Fax:516-887-7392
Practice Address - Street 1:433 ATLANTIC AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-1483
Practice Address - Country:US
Practice Address - Phone:516-887-3555
Practice Address - Fax:516-887-7392
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice