Individual
SIDNEY SEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10266 TWO NOTCH RD STE C, COLUMBIA, SC 29229-4400
(803) 865-9334
Mailing address
10266 TWO NOTCH RD STE C, COLUMBIA, SC 29229-4400
(803) 865-9334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD.10245
SC
1223G0001X
General Practice Dentistry
DGD.10245
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
11/03/2022
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