Seago, David E

Seago, David E is an individual health care provider with primary practice located at 971 Lakeland Drive Suite 225, Jackson MS 39216-4643. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Seago, David E can be contacted via phone (601) 366-7324.

Contact Information

Primary practice address
971 Lakeland Drive Suite 225 Jackson MS 39216-4643
Phone: (601) 366-7324
Fax: (601) 366-0228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 314100 Mississippi

Profile Details

NPI number 1316089634
LBN Legal business name Seago, David E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Oct 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316089634 NPPES
Mississippi MEDICAID 01436739

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