# GLENN C SEITZ PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Locust Lane Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093891848
- **Authorized official:** MR. GLENN C SEITZ JR. DMD (DENTIST)
- **Authorized official phone:** (717) 652-6352

## Contact information

- **Practice address:** 5525 LOCUST LANE, HARRISBURG, PA 17109
- **Practice address phone:** (717) 652-6352
- **Practice address fax:** (717) 541-0771
- **Mailing address:** 5525 LOCUST LANE, HARRISBURG, PA 17109
- **Mailing address phone:** (717) 652-6352
- **Mailing address fax:** (717) 541-0771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS030972L | PA | Yes |
| 1223G0001X | General Practice Dentistry | DS030972L | PA | — |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 07/24/2008