Jung Won Seo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS041754 Issued in PA

Practice address

1000 Easton Rd # 465
Wyncote, PA 19095-2918

Phone

(267) 367-5014

NPI assigned

Jul 2, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JW Dental

  • Dental Clinic/Center
  • Phoenixville, PA
  • NPI 1750272332
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1114413135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CITY AVE APT J310",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EASTON RD # 465",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952918",
            "telephone_number": "267-367-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "JUNG",
        "middle_name": "WON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary L. Schuler, MD
• Scott C. Seamans DPM, Inc.
• Kevin Charles Scott, M.D.
• Kireena Scott, LPN
• Scott Craig Seamans, DPM
• Michael Serdikoff, RPH
• Rock Tyler Shadduck, DMD
• Eliana Shakt, OTR/L
• Diane Mandel Shapiro, LCSW
• Keito Andrew Shaw Jr.

• Dentist in Wyncote, PA
• Providers in Wyncote, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.