Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | D6660-C1 | AL |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 0000000000000 | AL |
NPI | 1003378274 |
---|---|
Provider Name | Dr. Ryan Chase Seeley |
First Address | Brownsboro, AL 35741-9322 |
Second Address | Birmingham, AL 35233-2005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2019 |
Last Update Date | 17/01/2021 |