SEYED M. SHAMSEDDIN, DDS, LLC (NPI# 1588677595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588677595 |
| Entity Type | Organization |
| Organization Name | SEYED M. SHAMSEDDIN, DDS, LLC |
| Other Organization Name | GREENTREE PERIODONTICS |
| Practice Address |
9002 Lincoln Dr W Ste H Marlton NJ 08053-3204 |
| Mailing Address |
9002 Lincoln Dr W Suite H Marlton NJ 08053-3204 |
| Practice Telephone | 8569833450 |
| Practice Fax Number | 8569839877 |
| Mailing Telephone | 8569833450 |
| Mailing Fax Number | 8569839877 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SEYED SHAMSEDDIN (OWNER) |
| Authorized Official Telephone | 8569833450 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
22DI02035800 | NJ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Greentree Periodontics | Doing Business As Name - Organization |
| Street Address |
9002 LINCOLN DR W STE H |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265445274 | Seyed Shamseddin | Dentist | 9002 Lincoln Dr W Ste H, Marlton, NJ 08053-3204 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033300272 | David R Edenbaum | Dentist | 560 A Lippincott Drive, Bldg B, Marlton, NJ 08035 | 2007-08-05 |
| 1427115161 | Gail Gerard Childers | Dentist | 48 South Maple Avenue, Marlton, NJ 08053 | 2007-01-02 |
| 1275699316 | Charles P Procini | Dentist | 9001 Lincoln Dr W Ste B, Route 73, Marlton, NJ 08053-3202 | 2006-12-30 |
| 1588736011 | David Silver | Dentist | 149 E. Greentree Rd, Marlton, NJ 08053 | 2006-11-13 |
| 1609932748 | Charles P Procini Dds Pa | Dentist | 9001 Lincoln Dr W Ste B, Route 73, Marlton, NJ 08053-3202 | 2006-12-30 |
| 1265445274 | Seyed Shamseddin | Dentist | 9002 Lincoln Dr W Ste H, Marlton, NJ 08053-3204 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559994 | Daniela Gurpegui Abud | Dentist | 100 Park Ave Apt Ph4j, Fort Lee, NJ 07024-3806 | 2020-02-10 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1104478189 | Meera Sahni | Dentist | 3069 English Creek Ave Ste 101, Egg Harbor Township, NJ 08234-9708 | 2019-07-10 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1437636917 | Noam L Saltzburg | Dentist | 738 Park Ave, Elizabeth, NJ 07208-1349 | 2018-07-26 |
| 1912406745 | Terri Anne Binder | Dentist | Eisai Inc, 155 Tice Blvd, Woodcliff Lake, NJ 07677-8406 | 2018-02-07 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1801326111 | Mina Ebrahimi Daryani | Dentist | 1307 White Horse Rd Ste B100, Voorhees, NJ 08043-2156 | 2017-06-19 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1275932006 | Javier Sanz Moliner | Dentist | 103 Mansfield Rd E, Columbus, NJ 08022-2108 | 2014-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.