Organization Active NPI

Samuel D Seo, DMD, PC

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1689595761
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAMUEL D SEO, DMD, PC
Practice address
511 SW 10TH Ave Ste 1101
Portland, OR 97205-2712
Phone
(503) 546-9079
NPI assigned
Jul 23, 2026
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Samuel Seo, DMDNPI 1851772180
Title
Ceo
Phone
(404) 661-5681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

511 SW 10TH Ave Ste 1101
Portland, OR 97205-2712

Mailing address

511 SW 10TH Ave Ste 1101
Portland, OR 97205-2712
Phone (503) 546-9079

National Provider Directory

National Provider Directory

Locations

511 SW 10th Ave
Ste 1101
Portland, OR 97205
Phone (503) 224-0090

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": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1689595761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052712",
            "telephone_number": "503-546-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052712",
            "telephone_number": "503-546-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL D SEO, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-661-5681",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.