Provider Demographics
NPI:1063560373
Name:SEABORN, RICHARD DAVIS (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DAVIS
Last Name:SEABORN
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:5243 SNAPFINGER WOODS DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-4000
Mailing Address - Country:US
Mailing Address - Phone:770-981-8200
Mailing Address - Fax:770-981-8482
Practice Address - Street 1:5243 SNAPFINGER WOODS DR
Practice Address - Street 2:SUITE 105
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4000
Practice Address - Country:US
Practice Address - Phone:770-981-8200
Practice Address - Fax:770-981-8482
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GADN0076351223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics