1093811721 NPI number — M.ALFRED SELTMAN, DMD

Table of content: (NPI 1093811721)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093811721 NPI number — M.ALFRED SELTMAN, DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
M.ALFRED SELTMAN, DMD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093811721
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5895 DEVEREAUX LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15232-2801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-661-8949
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6315 FORBES AVE
Provider Second Line Business Practice Location Address:
SUITE L109
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15217-1745
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-404-8880
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SELTMAN
Authorized Official First Name:
MORTON
Authorized Official Middle Name:
ALFRED
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
412-661-8949

Provider Taxonomy Codes

  • Taxonomy code: 1223P0300X , with the licence number:  DS013631L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)