Healthcare Provider Details

I. General information

NPI: 1497000459
Provider Name (Legal Business Name): JOHN PHILIP SEISMAN JR. DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23192 THREE NOTCH RD
CALIFORNIA MD
20619-2401
US

IV. Provider business mailing address

23192 THREE NOTCH RD
CALIFORNIA MD
20619-2401
US

V. Phone/Fax

Practice location:
  • Phone: 301-862-2231
  • Fax: 301-862-1981
Mailing address:
  • Phone: 301-862-2231
  • Fax: 301-862-1981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number15042
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: