Seok Hwan Son DDS Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

52471 Issued in CA

Legal business name

SEOK HWAN SON DDS INC

Doing business as

Anaheim Dental Group

Practice address

40 E Orangethorpe Ave
Anaheim, CA 92801-1206

Phone

(213) 453-4368

Fax

(714) 281-8200

NPI assigned

Oct 12, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seok Hwan SonNPI 1366654832

Title

Ceo

Phone

(714) 870-6611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anaheim Dental Group Doing business as

Locations

Practitioners 2

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.

• Seok Hwan Son, DDS

  • Dentist
  • Anaheim, CA
  • NPI 1366654832
  Authorized official Same address or phone
• Dae Wook Hur, DDS

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1417178294
  NPD (past)

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740791060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E ORANGETHORPE AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011206",
            "telephone_number": "213-453-4368",
            "fax_number": "714-281-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E ORANGETHORPE AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011206",
            "telephone_number": "213-453-4368",
            "fax_number": "714-281-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEOK HWAN SON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "SEOK",
        "authorized_official_middle_name": "HWAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-870-6611"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366654832",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josephine Christine Sensalo, C.N.M
• Sentencing Concepts Inc.
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• Eu Seong Seo, L.AC
• Hyon Chong Seo, MD
• Barbara Maciel Sepulveda
• Cynthia Neal Sepulveda, FNP-C
• Kaley Serapin
• Serene Health
• Serenity Journey LLC

• Oral and Maxillofacial Surgery (Dentist) in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

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