Provider Demographics
NPI:1861455891
Name:SELINGER, CLIFFORD HOWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:HOWARD
Last Name:SELINGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 NE 212TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1641
Mailing Address - Country:US
Mailing Address - Phone:305-932-6046
Mailing Address - Fax:
Practice Address - Street 1:12311 TAFT ST
Practice Address - Street 2:SUITE 2
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-4384
Practice Address - Country:US
Practice Address - Phone:954-430-5700
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL53201223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL86775Medicare ID - Type Unspecified