Individual
DR. ROBERT JAY SELDERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
BLDG 1002 RM 231, FORT KNOX, KY 40121
(502) 624-2966
Mailing address
1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913-4603
(719) 526-2006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12481
GA
1223P0300X
Periodontics
Primary
7962
TN
Other
Enumeration date
10/04/2006
Last updated
07/29/2022
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