Provider Demographics
NPI:1124275425
Name:SEO, HYE-REE SOPHIA (DDS)
Entity type:Individual
Prefix:DR
First Name:HYE-REE
Middle Name:SOPHIA
Last Name:SEO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E 95TH ST APT 3G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5774
Mailing Address - Country:US
Mailing Address - Phone:443-812-8983
Mailing Address - Fax:
Practice Address - Street 1:2737 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5801
Practice Address - Country:US
Practice Address - Phone:718-838-1092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054131122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist