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General NPI Number Information
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NPI Number | 1932017530
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Entity Type | Organization
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Legal Business Name | SELLERS DMD PC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 454 W ROSEBERRY ROAD SUITE 106
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City | DONNELLY
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State | ID
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Zip | 83615
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Country | US
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Telephone | 208-515-1466
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1810
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City | MCCALL
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State | ID
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Zip | 83638-1810
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Country | US
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Telephone | 208-634-3164
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHAD SELLERS
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Credential | DMD
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Telephone | 208-515-1466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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