Healthcare Provider Details

I. General information

NPI: 1477818979
Provider Name (Legal Business Name): ROBERT STEPNEN SEIF D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

705 N SALISBURY BLVD
SALISBURY MD
21801-4120
US

IV. Provider business mailing address

705 N SALISBURY BLVD
SALISBURY MD
21801-4120
US

V. Phone/Fax

Practice location:
  • Phone: 410-334-3401
  • Fax: 410-546-5090
Mailing address:
  • Phone: 410-334-3401
  • Fax: 410-546-5090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number4520
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number4520
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: