Provider Demographics
NPI:1861705758
Name:WALBRIDGE, SETH AARON (DMD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:AARON
Last Name:WALBRIDGE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 ARDMORE BLVD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4608
Mailing Address - Country:US
Mailing Address - Phone:412-271-1602
Mailing Address - Fax:412-271-1663
Practice Address - Street 1:2020 ARDMORE BLVD
Practice Address - Street 2:SUITE 121
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4608
Practice Address - Country:US
Practice Address - Phone:412-271-1602
Practice Address - Fax:412-271-1663
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS038391122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist