Doctor Name: | DR. KRISTINE SEIBEL |
NPI Number: | 1467718403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD |
License Number: | DN19515 |
Business Practice Address: | 410 Boston Post Rd Suite 6 Sudbury, MA - 017763058 |
Business Phone Number: | 9874435431 |
Business Fax Number: | 9784435465 |
Mailing Address: | 410 Boston Post Rd, Suite 6 SUDBURY |
State: | MA |
Postal Code: | 017763058 |
Phone Number: | 9874435431 |
Fax Number: | 9784435465 |
NPI Enumeration Date: | 04/04/2012 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DN19515 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |