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NPI Code Detail

MEDICARE: DR. WILLIAM SEIBOLD DDS

MEDICARE:  DR. WILLIAM  SEIBOLD  DDS
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
11223G0001XGeneral Practice Dentistry00203994CO

General Provider Information

NPI Number : 1669030706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM SEIBOLD DDS
Provider Business Mailing Address
First Line : 11187 MODERN MEADOW LOOP
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-3854
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9680 NAUTILUS PT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80924-8706
Country : US
Telephone Number : 719-494-2865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2019
Last Update Date : 08/05/2024

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Directions to “ DR. WILLIAM SEIBOLD DDS” Practice Location

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