Provider Demographics
NPI:1386786218
Name:DOV SEIDENFELD DDS PC
Entity type:Organization
Organization Name:DOV SEIDENFELD DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOV
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIDENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-435-8300
Mailing Address - Street 1:1207 59TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4917
Mailing Address - Country:US
Mailing Address - Phone:718-435-8300
Mailing Address - Fax:
Practice Address - Street 1:1207 59TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4917
Practice Address - Country:US
Practice Address - Phone:718-435-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental