Individual provider Active NPI

George N Seligman, DDS

  • General Practice Dentistry
  • W Bloomfield, MI
National Provider Identifier
1164623732
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901011122 Issued in MI
Practice address
33200 W 14 Mile Rd
Suite 100
W Bloomfield, MI 48322-3563
Phone
(248) 406-0180
Fax
(248) 406-5088
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901011122 MI Primary

Addresses

Primary practice location

33200 W 14 Mile Rd
Suite 100
W Bloomfield, MI 48322-3563

Mailing address

33200 W 14 Mile Rd
Suite 100
W Bloomfield, MI 48322-3563
Phone (248) 406-0180

Other identifiers 1

IdentifierTypeStateIssuer
2901011122OtherMISTATE OF MICHIGAN DENTAL LICENSE

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
2901011122MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
West Oaks Dental Group, P.C. Current Accepting new patients

Locations

33200 W 14 Mile Rd
Ste 100
West Bloomfield, MI 48322
Phone (248) 406-0180

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1164623732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "SUITE 100",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223563",
            "telephone_number": "248-406-0180",
            "fax_number": "248-406-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "SUITE 100",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223563",
            "telephone_number": "248-406-0180",
            "fax_number": "248-406-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIGMAN",
        "first_name": "GEORGE",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN DENTAL LICENSE",
            "identifier": "2901011122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.