Healthcare Provider Details

I. General information

NPI: 1134183767
Provider Name (Legal Business Name): JAMES JUSTIN SEITZ DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 E WATSON ST
BEDFORD PA
15522
US

IV. Provider business mailing address

224 E WATSON ST
BEDFORD PA
15522
US

V. Phone/Fax

Practice location:
  • Phone: 814-623-7015
  • Fax: 814-623-7522
Mailing address:
  • Phone: 814-623-7015
  • Fax: 814-623-7522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS027353L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: