NPIMap

Organization Active NPI

Dr Seo Dental Corp

Doing business as Grace Dental

  • Dental Clinic/Center
  • Oceanside, CA
National Provider Identifier
1891252722
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR SEO DENTAL CORP
Doing business as
Grace Dental
Practice address
2204 S El Camino Real Ste 100
Oceanside, CA 92054-6391
Phone
(877) 464-7223
Fax
(760) 231-1580
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Dr. Youngseok Seo, DDSNPI 1174754568
Title
President
Phone
(760) 653-8338

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2204 S El Camino Real Ste 100
Oceanside, CA 92054-6391

Mailing address

2204 S El Camino Real Ste 100
Oceanside, CA 92054-6391
Phone (877) 464-7223

Other names 1

  • Grace Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2204 S El Camino Real
Ste 100
Oceanside, CA 92054
Phone (760) 653-8338

Practitioners & affiliated clinicians

Practitioners 2

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": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1891252722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S EL CAMINO REAL STE 100",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546391",
            "telephone_number": "877-464-7223",
            "fax_number": "760-231-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S EL CAMINO REAL STE 100",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546391",
            "telephone_number": "877-464-7223",
            "fax_number": "760-231-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SEO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "YOUNGSEOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-653-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.