Healthcare Provider Details

I. General information

NPI: 1063521227
Provider Name (Legal Business Name): HAROLD JAMES SEILER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8110 WINDWAY DR
SAN ANTONIO TX
78239-2433
US

IV. Provider business mailing address

8110 WINDWAY DR
SAN ANTONIO TX
78239-2433
US

V. Phone/Fax

Practice location:
  • Phone: 210-657-0101
  • Fax: 210-657-7214
Mailing address:
  • Phone: 210-657-0101
  • Fax: 210-657-7214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number011387
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number6455
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: