MEDICARE: M.ALFRED SELTMAN, DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	DS013631L	PA

General Provider Information

NPI Number	:	1093811721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M.ALFRED SELTMAN, DMD

Provider Business Mailing Address
First Line	:	5895 DEVEREAUX LN
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-2801
Country	:	US
Telephone Number	:	412-661-8949
Fax Number	:

Provider Business Practice Location Address
First Line	:	6315 FORBES AVE
Second Line	:	SUITE L109
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1745
Country	:	US
Telephone Number	:	412-404-8880
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MORTON ALFRED SELTMAN
Credential	:	D.M.D.
Telephone Number	:	412-661-8949

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	08/22/2020

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