Individual
DR. AMY LYNN SEAGRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15380 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-4824
(440) 530-9336
Mailing address
1221 W 65TH ST UNIT 6615, CLEVELAND, OH 44102-2197
(330) 360-4241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019032522
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30027680
OH
Other
Enumeration date
03/24/2020
Last updated
11/14/2024
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