Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 11803 | MD |
NPI | 1235277310 |
---|---|
Provider Name | Dr. Joseph Henry Seipp III |
First Address | Fallston, MD 21047-1330 |
Second Address | Fallston, MD 21047-1330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 08/07/2007 |