Active NPI
Stephen B Seidler DDS PA
- General Practice Dentistry
- Sanford, FL
National Provider Identifier
1972887800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN8613
- Legal business name
- STEPHEN B SEIDLER DDS PA
- Practice address
- 4942 W State Road 46
Ste 1038
Sanford, FL 32771-9245 - Phone
- (407) 320-1700
- NPI assigned
- Oct 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen B Seidler, DDS
- Title
- President
- Phone
- (407) 320-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN8613 | FL | Primary |
Addresses
Primary practice location
4942 W State Road 46
Ste 1038
Sanford, FL 32771-9245
Mailing address
4942 W State Road 46
Ste 1038
Sanford, FL 32771-9245
Phone (407) 320-1700
Other names 1
- SANFORD DENTAL EXCELLENCE
National Provider Directory
National Provider DirectoryLocations
4942 W State Road 46
Ste 1038
Sanford, FL 32771
Phone (407) 320-1700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326067200000",
"number": "1972887800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4942 W STATE ROAD 46",
"address_2": "STE 1038",
"city": "SANFORD",
"state": "FL",
"postal_code": "327719245",
"telephone_number": "407-320-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4942 W STATE ROAD 46",
"address_2": "STE 1038",
"city": "SANFORD",
"state": "FL",
"postal_code": "327719245",
"telephone_number": "407-320-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN B SEIDLER DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-11",
"last_updated": "2012-01-09",
"status": "A",
"authorized_official_last_name": "SEIDLER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-320-1700",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN8613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SANFORD DENTAL EXCELLENCE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.