Provider Demographics
NPI:1215973607
Name:SELDEN, ROBERT MILTON III (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MILTON
Last Name:SELDEN
Suffix:III
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10125 HICKORYWOOD HILL AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3303
Mailing Address - Country:US
Mailing Address - Phone:704-992-1022
Mailing Address - Fax:704-992-1120
Practice Address - Street 1:10125 HICKORYWOOD HILL AVE
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3303
Practice Address - Country:US
Practice Address - Phone:704-992-1022
Practice Address - Fax:704-992-1120
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC68771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics