MEDICARE: SETH HARTMAN 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	122300000X	Dentist	41699	TX

General Provider Information

NPI Number	:	1134019490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETH HARTMAN DMD

Provider Business Mailing Address
First Line	:	2602 CROSS TIMBER DR
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76543-5774
Country	:	US
Telephone Number	:	409-499-7484
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 E FM 2410 RD STE 104
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-5718
Country	:	US
Telephone Number	:	254-699-3359
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	07/08/2025

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