Provider Demographics
NPI:1144670126
Name:SEELINGER, CHELSEA (DDS)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:SEELINGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 DOVER RD
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-2606
Mailing Address - Country:US
Mailing Address - Phone:870-735-3915
Mailing Address - Fax:
Practice Address - Street 1:108 DOVER RD
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-2606
Practice Address - Country:US
Practice Address - Phone:870-735-3915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR41161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR4116Medicaid
AR4116Medicare UPIN
AR4116Medicaid