Individual
DR. JACOB SEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2157 PRINCE ST, CONWAY, AR 72034-3737
(501) 470-5758
Mailing address
2157 PRINCE ST, CONWAY, AR 72034-3737
(501) 470-5758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4036
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209083608
—
AR
Enumeration date
05/27/2015
Last updated
10/23/2018
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