Individual
JASON W SELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2112A DANVILLE RD., SW, DECATUR, AL 35601
(256) 353-8696
(256) 353-7388
Mailing address
2112A DANVILLE RD., SW, DECATUR, AL 35601
(256) 353-8696
(256) 353-7388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4877
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03620
BCBS PROVIDER ID#
AL
Enumeration date
10/02/2006
Last updated
07/08/2007
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