Wansuk Seth Seo, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI023002 Issued in NJ

Practice address

890 Union Mill Road
Mount Laurel, NJ 08054-9561

Phone

(856) 234-5001

Fax

(856) 234-5114

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upper Moreland Dentistry

  • Dental Clinic/Center
  • Warminster, PA
  • NPI 1245108075
  NPD Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1831391283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 UNION MILL ROAD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549561",
            "telephone_number": "856-234-5001",
            "fax_number": "856-234-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 UNION MILL ROAD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549561",
            "telephone_number": "856-234-5001",
            "fax_number": "856-234-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "WANSUK",
        "middle_name": "SETH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036612",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI023002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry M Schwartz, PHARMD
• Jeremy Schwarzbaum, PSY.D.
• Senior Care of South Jersey
• Laurie Marie Sentman, PTA
• Hyoung Suk Seo, D.M.D
• Jennifer Sepede, D.O.
• Reema Sethi, BCBA
• Fatemah Shabbir
• Shady Rest Residential Facility
• Gopi Shah, LAC

• General Practice Dentistry in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.