DR. JOHN TIMOTHY SEELY JR. (NPI# 1104340025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104340025 |
| Entity Type | Individual |
| Full Name | DR. JOHN TIMOTHY SEELY JR. |
| Credential | DDS |
| Practice Address |
577 Sternberg Ave Fort Eustis VA 23604-1526 |
| Practice Telephone | (757) 314-7944 |
| Practice Fax Number | 7573147942 |
| Mailing Telephone | 7573147944 |
| Mailing Fax Number | 7573147942 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12012730A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205360492 | John Matthew Seely | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Box #800710, Charlottesville, VA 22908-0816 | 2017-04-14 |
| Street Address |
577 STERNBERG AVE |
| City | FORT EUSTIS |
| State | VA |
| Zip Code | 23604-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494245 | Ruth Anne Nelson | Dentist | 577 Sternberg Ave, Hq Us Army Dental Activity, Fort Eustis, VA 23604-5311 | 2005-08-22 |
| 1568019479 | Cassi Velazquez | Dentist | 577 Sternberg Ave, Fort Eustis, VA 23604-1526 | 2019-08-26 |
| 1467948539 | Gregory James Meighen | Dentist | 577 Sternberg Ave, Fort Eustis, VA 23604-1526 | 2018-07-02 |
| 1992155246 | Gail Sparks | Dental Hygienist | 577 Sternberg Ave, Fort Eustis, VA 23604-1526 | 2016-06-17 |
| 1568812246 | Denise Mcguire | Dental Hygienist | 577 Sternberg Ave, Fort Eustis, VA 23604-1526 | 2016-06-14 |
| 1326489675 | Raymond Lee Seaburg | Dentist | 577 Sternberg Ave, Hq Us Dental Activity, Fort Eustis, VA 23604 | 2013-07-16 |
| 1104108273 | Jae Hee Chang | Dentist | 577 Sternberg Ave, Fort Eustis, VA 23604-1526 | 2011-09-15 |
| 1154601839 | Bradley R Johnson | Dentist | 577 Sternberg Ave, Hq Us Army Dental Activity, Fort Eustis, VA 23604-1526 | 2011-08-25 |
| 1306152830 | Elsie Anne Hinz | Dentist | 577 Sternberg Ave, Us Army Dnetal Activity, Fort Eustis, VA 23604-1526 | 2010-08-21 |
| 1962716993 | Stephen J Sebastian | Dentist | 577 Sternberg Ave, Us Army Dental Activity, Fort Eustis, VA 23604-1526 | 2010-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194375188 | Vincent Nevin Lattanzi | Dental Assistant | 576 Fort Eustis Blvd, Fort Eustis, VA 23604 | 2019-09-12 |
| 1730531872 | Steven Mansion | Dental Assistant | Bldg 669 Monroe Ave, Fort Eustis, VA 23604 | 2016-07-12 |
| 1497106140 | Cindy Delapena | Dental Hygienist | 577 Sternberg Avenue, Usa Dental Activity Headquarters, Fort Eustis, VA 23604 | 2016-06-23 |
| 1073990131 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 1386 Washington Blvd, Fort Eustis, VA 23604 | 2015-04-28 |
| 1548529985 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 1386, Fort Eustis, VA 23604 | 2012-05-04 |
| 1073708335 | Heather Dawn Guntherberg | Pharmacist | Mcdonald Army Health Clinic, Bldg 576 Jefferson Ave, Fpo, AE 23604 | 2007-09-10 |
| 1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
| 1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
| 1922161157 | Kimberly Sue Strubhar | Licensed Practical Nurse | Harrison Loop, Building 2792a, Fort Eustiis, VA 23604 | 2006-12-19 |
| 1972666287 | Nkechi Trudy Ekwueme | Licensed Practical Nurse | Bldg 576 Jefferson Ave, Fort Eustis, VA 23604 | 2006-12-18 |
| Find all providers in zip 23604 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851477996 | Michael Keesee Gregory | Dentist | 669 Monroe Ave, Fort Eustis, VA 23604-5005 | 2006-10-31 |
| 1083671051 | Michael Leo Hemker | Dentist | Bldg 557 Sternberg Avenue, Ft Eustis Dentac, Fort Eustis, VA 23604-5311 | 2006-04-26 |
| 1568019479 | Cassi Velazquez | Dentist | 577 Sternberg Ave, Fort Eustis, VA 23604-1526 | 2019-08-26 |
| 1366920738 | Jessica Sencindiver | Dentist | Usa Dental Health Activity, 577 Sternberg Ave, Fort Eustis, VA 23604 | 2018-07-30 |
| 1467948539 | Gregory James Meighen | Dentist | 577 Sternberg Ave, Fort Eustis, VA 23604-1526 | 2018-07-02 |
| 1831613595 | Brian Anthony Rich | Dentist | 669 Monroe Ave, Fort Eustis, VA 23604-5005 | 2017-08-02 |
| 1326489675 | Raymond Lee Seaburg | Dentist | 577 Sternberg Ave, Hq Us Dental Activity, Fort Eustis, VA 23604 | 2013-07-16 |
| 1154601839 | Bradley R Johnson | Dentist | 577 Sternberg Ave, Hq Us Army Dental Activity, Fort Eustis, VA 23604-1526 | 2011-08-25 |
| 1306152830 | Elsie Anne Hinz | Dentist | 577 Sternberg Ave, Us Army Dnetal Activity, Fort Eustis, VA 23604-1526 | 2010-08-21 |
| 1962716993 | Stephen J Sebastian | Dentist | 577 Sternberg Ave, Us Army Dental Activity, Fort Eustis, VA 23604-1526 | 2010-08-02 |
| Find all providers in FORT EUSTIS | ||||
| City | FORT EUSTIS |
| Zip Code | 23604 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.