MICHAELA SERSELOUODI DDS NPI 1679611818

NPI Information

  • NPI: 1679611818
  • Provider Name: MICHAELA SERSELOUODI, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 231 WADE ROAD EXT
    SUITE 101
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 782-1900

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NPI Details

Michaela Serselouodi, DDS is a general practice dentist in Latham, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Michaela Serselouodi, DDS NPI is 1679611818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

231 WADE ROAD EXT
SUITE 101
LATHAM, NY
ZIP 12110-855
Phone: (518) 782-1900
Fax: (518) 782-1318

The enumeration date for this NPI number is 2/1/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice050822-1NEW YORKYes

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: 3/30/2025

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