Organization Active NPI

SNC Dental, PLLC

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1609561224
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SNC DENTAL, PLLC
Doing business as
Heyday Family Dental
Practice address
3401 Golden Triangle Blvd Ste 101
Fort Worth, TX 76177-7166
Phone
(817) 500-0377
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Dr. Sang Kwon Seo, DMDNPI 1427402981
Title
Owner Dentist
Phone
(412) 999-0743

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X

Addresses

Primary practice location

3401 Golden Triangle Blvd Ste 101
Fort Worth, TX 76177-7166

Mailing address

3401 Golden Triangle Blvd Ste 101
Fort Worth, TX 76177-7166
Phone (817) 500-0377

Other names 1

  • Heyday Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3401 Golden Triangle Blvd
Ste 101
Fort Worth, TX 76177
Phone (817) 500-0377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1609561224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 GOLDEN TRIANGLE BLVD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777166",
            "telephone_number": "817-500-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GOLDEN TRIANGLE BLVD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777166",
            "telephone_number": "817-500-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNC DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "SANG KWON",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "412-999-0743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heyday Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.