Provider Demographics
NPI:1942403001
Name:SETO, TIMOTHY WAYNE (DMD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:WAYNE
Last Name:SETO
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 1:3715 51 ST. SW
Mailing Address - Street 2:SUITE 222
Mailing Address - City:CALGARY
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T3E 6V2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3715 51 ST SW
Practice Address - Street 2:SUITE 222
Practice Address - City:CALGARY
Practice Address - State:ALBERTA
Practice Address - Zip Code:T3E 6V2
Practice Address - Country:CA
Practice Address - Phone:587-885-1811
Practice Address - Fax:587-885-1813
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019313122300000X, 1223G0001X
CADDS641211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice