JONG BUM SEO DMD
NPI 1356599815
Dentist in Winslow, AZ

Q: What is Jong Bum Seo's NPI number?

The NPI number for Jong Bum Seo is 1356599815. It was assigned to this individual provider in the NPPES registry on September 8, 2008.

Q: What is Jong Bum Seo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jong Bum Seo was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 08, 2008

500 INDIANA AVE, WINSLOW, AZ 86047(928) 289-6189(928) 289-6290 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jong Bum Seo Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONG BUM SEO DMD (NPI 1356599815) is an individual dentist in Winslow, Arizona, licensed in Maryland (14142) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1356599815

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJONG BUM SEOCredential: DMD

Location Address500 INDIANA AVEWinslow, AZ 86047-2169

Mailing Address500 Indiana AveWinslow, AZ 86047-2169 · (928) 289-6189 · Fax (928) 289-6290

Phone(928) 289-6189

Fax(928) 289-6290

Sole ProprietorNo

Enumeration DateSeptember 8, 2008

Last NPPES UpdateSeptember 9, 2008

✔ NPI 1356599815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MD · 14142

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

500 INDIANA AVE, Winslow, AZ 86047

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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