=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093656696
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILLOW TREE DENTAL - NORTH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2026
-----------------------------------------------------
Last Update Date | 04/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 37 MAIN ST
-----------------------------------------------------
City | SMITHFIELD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15478-7900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-569-4820
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 37 MAIN ST
-----------------------------------------------------
City | SMITHFIELD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15478-7900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-569-4820
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/DENTIST
-----------------------------------------------------
Name | DR. CHRISTOPHER LEE SEESE
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 412-215-5810
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------