Alexandra Seal, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30.024974 Issued in OH

Practice address

4646 Nantuckett Dr Ste a
Toledo, OH 43623-3194

Phone

(419) 351-8611

Fax

(419) 351-8611

NPI assigned

Sep 2, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Oral & Maxillofacial Surgeons Inc

  dba Harbor Light Oral & Maxillofacial Surgeons Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Toledo, OH
  • NPI 1164414355
  Medicare reassignment NPD
• Oral & Maxillofacial Surgeons Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Wauseon, OH
  • NPI 1013680925
  NPD
• Oral & Maxillofacial Surgeons Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Toledo, OH
  • NPI 1326030503
  NPD

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225406622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 NANTUCKETT DR STE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233194",
            "telephone_number": "419-517-2100",
            "fax_number": "419-517-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 NANTUCKETT DR STE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233194",
            "telephone_number": "419-351-8611",
            "fax_number": "419-351-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAL",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.024974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latanya E Scruggs
• William Calvin Scruggs Jr.
• Bryan Sculthorpe
• Jamillah Lanae Scurles
• Joanne Scurles, QMHS
• Jennifer Seal, CNP
• Michelle Denise Seales
• Ieshea Sealey
• Evan Charles Seamons, MD
• Brianna Marie Searls

• Periodontics in Toledo, OH
• Providers in Toledo, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.