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DR. EDWARD BERT SELDIN DMD MD NPI 1316938202


NPI Information

NPI: 1316938202
Provider Name: DR. EDWARD BERT SELDIN, DMD MD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
15 PARKMAN ST
WAC 230
BOSTON, MA
ZIP 02114
Phone: (617) 726-2743
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DR. Edward Bert Seldin, DMD MD is an oral maxillofacial surgery in Boston, MA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Edward Bert Seldin, DMD MD NPI is 1316938202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 PARKMAN ST
WAC 230
BOSTON, MA
ZIP 02114-117
Phone: (617) 726-2743
Fax: (617) 726-2814

The enumeration date for this NPI number is 10/31/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial Surgery39785MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T80101MEDICARE UPIN
2703300OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3M09396MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
40154415MEDICAIDMASSACHUSETTS
5M09396OTHERMASSACHUSETTSBCBS MA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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