Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639623457 Individual Practitioner Male Practitioner

Dr. Seokjae Son , DMD

Dentist • Champaign, IL

Professional Overview & Biography Verified Profile Summary

Dr. Seokjae Son, DMD is a registered healthcare professional specializing in Dentist in Champaign, IL. Practice services are available at 303 W SPRINGFIELD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

303 W Springfield Ave

Champaign, IL 618204817

Telephone 2173563335
Associated Practice Facility / Clinic
🏢 Illini Smiles Dental Care Pc Facility NPI 1891245957

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Champaign, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
44 Specialists

Practicing in Champaign, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.030913

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.

Secondary Practice Locations

687 E Linton Ave

Springfield, IL 627035902

Phone: 2175221111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Adrian Kim , DMD

Student in an Organized Health Care Education/Training Program

NPI 1154172732

Doctor of Dental Medicine

Dr. David Moon , DDS

Dentist - General Practice

NPI 1184502981

Doctor of Dental Surgery

Dr. Yudong Xu , DMD

Dentist - General Practice

NPI 1245229822

Doctor of Dental Medicine

Dr. Gene King , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1376663799

Doctor of Dental Surgery

Dr. Scott Todd , DMD

Dentist - General Practice

NPI 1407408008

Doctor of Dental Medicine

Ebad Muqtader

Dentist - General Practice

NPI 1467385385

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2018

Registered at 303 W SPRINGFIELD AVE, CHAMPAIGN, IL 618204817 (Tel: 2173563335)

📍
Updated Business Mailing Address January 08, 2018

Registered at 303 W SPRINGFIELD AVE, CHAMPAIGN, IL 618204817 (Tel: 2173563335)

👤
Provider Name / Credentials Updated January 08, 2018

Recorded as SEOKJAE SON, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2018

Dentist (License #019.030913 in IL)

NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2016

Registered at 687 E LINTON AVE, SPRINGFIELD, IL 627035902 (Tel: 2175221111)

📍
Updated Business Mailing Address August 10, 2016

Registered at 3127 N UNIVERSITY ST, PEORIA, IL 616041316 (Tel: 3096818888)

👤
Provider Name / Credentials Updated August 10, 2016

Recorded as SEOKJAE SON, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Dentist (License #019.030913 in IL)

🟢
Initial NPI Registration & Enumeration August 10, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639623457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2016
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

303 W Springfield Ave

Champaign, IL 618204817

Phone: 2173563335

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.