Fern Elise Selesnick, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16178 Issued in MA

Practice address

2 Hooper St
Marblehead, MA 01945-3213

Phone

(781) 631-0480

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marblehead Dental

  • Dental Clinic/Center
  • Marblehead, MA
  • NPI 1982934832
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316158348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BONAD RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453710",
            "telephone_number": "781-639-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOOPER ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453213",
            "telephone_number": "781-631-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELESNICK",
        "first_name": "FERN",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kennedy Scala, REGISTERED DIETITIAN
• Marisa Anne Schisler
• Rachel Emily Schultze
• Jill Barri Schwartz, LICSW
• Seaport Chiropractic
• Sarahlee Sewards, LICSW
• Danielle Nicole Shea Tan, MS NUTRITION, LDN
• Patricia Wheeler Shea, APRN, BC
• Richard A Sheff, M.D.
• Daniel Yang Shen, MD

• General Practice Dentistry in Marblehead, MA
• Providers in Marblehead, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.