Provider Demographics
NPI:1437836327
Name:SEASE, RICHARD AUSTIN
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:AUSTIN
Last Name:SEASE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 371
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31096-0371
Mailing Address - Country:US
Mailing Address - Phone:788-643-4484
Mailing Address - Fax:478-864-1288
Practice Address - Street 1:1008 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:GA
Practice Address - Zip Code:30828-9109
Practice Address - Country:US
Practice Address - Phone:706-465-3253
Practice Address - Fax:478-864-1288
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN1237741223G0001X
SCDGD.108841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice