Mitchell Todd Selin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11385 Issued in KY

Practice address

9351 Viking Center Dr Ste 101
Louisville, KY 40222-5701

Phone

(502) 901-2135

NPI assigned

May 12, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1851181952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 SHELTER LN",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489125023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 VIKING CENTER DR STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225701",
            "telephone_number": "502-901-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIN",
        "first_name": "MITCHELL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "11385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Danette Self, PHARM.D.
• William Scott Selhorst, PTA
• Jerry Walter Seligman, MD
• David Seligson, M.D.
• Omar Mourad Hassan Zaki Selim, M.B.B.CH, MSC
• Andrew Diehl Selk, DO
• Jennifer Ann Selley, M.A., CCC-SLP
• Alison Sells, MS, RD, CSO
• Carol L. Sells
• Jack Davis Sells, DC

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.