Yoon Seok Oh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4752 Issued in ME

Practice address

612 Brighton Ave
Portland, ME 04102-2359

Phone

(207) 772-4359

NPI assigned

Sep 4, 2023

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1699551994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GATEWAY BLVD UNIT 302",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040745565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022359",
            "telephone_number": "207-772-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "YOON SEOK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarred Odor
• Jessica Oesterhelder, M.D.
• Oriel Jane Offit, PSYD.
• Magdalena Anna Ogrodnik, MD
• Oluwaseun Abayomi Ogunbamise
• Dara Marie Oja, RN
• Chinedu Christian Okoli
• Hannah Marie Okonsky, OTD, OTR-L
• Erik R Olander, LCPC-C
• Old Port Chiropractic,Inc.

• General Practice Dentistry in Portland, ME
• Providers in Portland, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.