Organization Active NPI

Seo and Seo, DMD, PLLC

  • Pediatric Dentistry
  • Lynnwood, WA
National Provider Identifier
1245953637
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SEO AND SEO, DMD, PLLC
Practice address
19520 Highway 99 Ste 101
Lynnwood, WA 98036-5264
Phone
(650) 291-2075
NPI assigned
Sep 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Dr. Jeong Ho Seo, DMDNPI 1174931133
Title
Pediatric Dentist
Phone
(650) 291-2075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

19520 Highway 99 Ste 101
Lynnwood, WA 98036-5264

Mailing address

16410 89TH Ave E
Puyallup, WA 98375-2099
Phone (650) 291-2075

National Provider Directory

National Provider Directory

Locations

19520 Highway 99
Ste 101
Lynnwood, WA 98036
Phone (650) 291-2075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1245953637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16410 89TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752099",
            "telephone_number": "650-291-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19520 HIGHWAY 99 STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365264",
            "telephone_number": "650-291-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEO AND SEO, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "JEONG HO",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "650-291-2075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.