Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 9617 | TN |
NPI | 1023302387 |
---|---|
Provider Name | Dr. James Ryan Seaton |
First Address | Nashville, TN 37205-2118 |
Second Address | Nashville, TN 37205-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2011 |
Last Update Date | 06/07/2016 |