Joseph Maturo Sease, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12168 Issued in TN

Practice address

10480 Walden St
Soddy Daisy, TN 37379-5441

Phone

(770) 692-1000

Fax

(678) 444-4152

NPI assigned

Oct 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Joseph Sease DMD PLCC

  dba Soddy Daisy Pediatric Dentistry

  • Pediatric Dentistry
  • Soddy Daisy, TN
  • NPI 1972282408
  NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1245427418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 AVALON CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156356",
            "telephone_number": "503-998-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10480 WALDEN ST",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795441",
            "telephone_number": "770-692-1000",
            "fax_number": "678-444-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEASE",
        "first_name": "JOSEPH",
        "middle_name": "MATURO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013651",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "12168",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9010",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013651",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina S. Reynolds, L.P.N.
• Alex Oleg Ronin, ANP
• Felecia Rose
• Julia Ruiz, PHARMD
• William Schaening, DC
• Mandy Louise Shearer, D.D.S.
• Robert V Shearer, DDS
• Ashlie Brooke Sides
• Latisha Monique Simmons, DSW
• Deidra Gayle Smith, RN

• Pediatric Dentistry in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.