MEDICARE: JOHN D SEITZ D.D.S

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	1223G0001X	General Practice Dentistry	6399	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	22832	OTHER	KS	BC/BS KS
3	877639	OTHER	KS	UNITED CONCORDIA ID
4	6399	OTHER	KS	DELTA DENTAL ID

General Provider Information

NPI Number	:	1427036250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN D SEITZ D.D.S

Provider Business Mailing Address
First Line	:	625 N SUMMIT ST
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-2229
Country	:	US
Telephone Number	:	620-442-7752
Fax Number	:	620-442-3042

Provider Business Practice Location Address
First Line	:	625 N SUMMIT ST
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-2229
Country	:	US
Telephone Number	:	620-442-7752
Fax Number	:	620-442-3042

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	07/09/2007

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