Active NPI
Jeffrey Seymour, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Venice, FL
National Provider Identifier
1346482148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 13382
- Practice address
- 19790 Wellen Park Blvd Ste 202
Venice, FL 34293-2296 - Phone
- (941) 451-7005
- NPI assigned
- Mar 25, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 13382 | FL | Primary |
Addresses
Primary practice location
19790 Wellen Park Blvd Ste 202
Venice, FL 34293-2296
Mailing address
2308 W Morrison Ave
Tampa, FL 33629-4727
Phone (813) 624-9699
Other practice location 1
458 S Tamiami Trl
Osprey, FL 34229-9206
Phone (941) 451-7005
Other practice location 2
42030 Cypress Pkwy Unit 5
Punta Gorda, FL 33982-5494
Phone (941) 451-7005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13382 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1346482148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 W MORRISON AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336294727",
"telephone_number": "813-624-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19790 WELLEN PARK BLVD STE 202",
"city": "VENICE",
"state": "FL",
"postal_code": "342932296",
"telephone_number": "941-451-7005"
}
],
"practiceLocations": [
{
"address_1": "458 S Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Osprey",
"state": "FL",
"postal_code": "342299206",
"country_code": "US",
"telephone_number": "941-451-7005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "42030 Cypress Pkwy Unit 5",
"address_purpose": "LOCATION",
"city": "Punta Gorda",
"state": "FL",
"postal_code": "339825494",
"country_code": "US",
"telephone_number": "941-451-7005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEYMOUR",
"first_name": "JEFFREY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-25",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "13382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.