Healthcare Provider Details

I. General information

NPI: 1801988068
Provider Name (Legal Business Name): SETA M APELIAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 PLANTATION STREET
WORCESTER MA
01604
US

IV. Provider business mailing address

330 PLANTATION STREET
WORCESTER MA
01604
US

V. Phone/Fax

Practice location:
  • Phone: 508-753-1911
  • Fax: 508-753-1837
Mailing address:
  • Phone: 508-753-1911
  • Fax: 508-753-1837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number17885
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: