Individual provider Active NPI

Matthew Seedall, DMD

  • Dentist
  • Bethesda, MD
National Provider Identifier
1093199374
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9439493-9922 Issued in UT
Practice address
8955 Wood Rd. BLDG 1, 4TH Floor
Bethesda, MD 20889-5611
Phone
(385) 312-3866
NPI assigned
Jul 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9439493-9922 UT Primary

Addresses

Primary practice location

8955 Wood Rd. BLDG 1, 4TH Floor
Bethesda, MD 20889-5611

Mailing address

8955 Wood Rd. BLDG 1, 4TH Floor
Bethesda, MD 20889-5611
Phone (385) 312-3866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9439493-9922UTMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1093199374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 WOOD RD. BLDG 1, 4TH FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895611",
            "telephone_number": "385-312-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 WOOD RD. BLDG 1, 4TH FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895611",
            "telephone_number": "385-312-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEDALL",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "9439493-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.