Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679611818 Individual Practitioner Female Practitioner

Dr. Michaela Serselouodi , DDS

Dentist - General Practice • Latham, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michaela Serselouodi, DDS is a registered healthcare professional specializing in Dentist - General Practice in Latham, NY. Practice services are available at 231 WADE ROAD EXT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

231 Wade Road Ext
Suite 101

Latham, NY 121101855

Telephone 5187821900
Fax 5187821318
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Latham, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
23 Specialists

Practicing in Latham, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 050822-1

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Jean Mary Marius

Dentist - General Practice

NPI 1295966380
Dr. Chris Arena , DMD

Dentist - General Practice

NPI 1457499766

Doctor of Dental Medicine

Dr. Yaelle Legallais , DMD

Dentist - General Practice

NPI 1477230175

Doctor of Dental Medicine

Dr. Issa Daoui , DMD

Dentist - General Practice

NPI 1922835024

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 231 WADE ROAD EXT, SUITE 101, LATHAM, NY 121101855 (Tel: 5187821900)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 3189, SYRACUSE, NY 132203189 (Tel: 3154546000)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAELA SERSELOUODI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #050822-1 in NY)

🟢
Initial NPI Registration & Enumeration February 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679611818
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 3189

Syracuse, NY 132203189

Phone: 3154546000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.