Individual provider Active NPI

William Frederick Seefried Jr., D.M.D.

  • Dentist
  • Huntingdon Valley, PA
National Provider Identifier
1679951115
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS040359 Issued in PA
Practice address
1946 County Line Rd
Huntingdon Valley, PA 19006-1738
Phone
(215) 322-8711
NPI assigned
May 18, 2015
Last updated
May 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040359 PA Primary

Addresses

Primary practice location

1946 County Line Rd
Huntingdon Valley, PA 19006-1738

Mailing address

1946 County Line Rd
Huntingdon Valley, PA 19006-1738
Phone (215) 322-8711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 9, 2021 through Nov 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040359PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Justa Farm Dental Associates Dentist Past Accepting new patients
William F Seefried Jr., D.M.D., PLLC Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1679951115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061738",
            "telephone_number": "215-322-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 COUNTY LINE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061738",
            "telephone_number": "215-322-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEFRIED",
        "first_name": "WILLIAM",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.