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Active NPI 1366690067 Individual Practitioner Female Practitioner

Mia Myoungah Seo

Dentist - General Practice • Niles, IL

Professional Overview & Biography Verified Profile Summary

Mia Seo is a registered healthcare professional specializing in Dentist - General Practice in Niles, IL. Practice services are available at 876 CIVIC CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

876 Civic Center Dr

Niles, IL 607143207

Telephone 8475831900
Fax 8475832920
Associated Practice Facility / Clinic
🏢 Choongseo Chung Dds Pc Facility NPI 1558644047

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Niles, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Niles, IL (5581 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019029912

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Christopher Chung , DDS

Dentist - General Practice

NPI 1194032128

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active August 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2016

Registered at 876 CIVIC CENTER DR, NILES, IL 607143207 (Tel: 8475831900)

📍
Updated Business Mailing Address August 26, 2016

Registered at 876 CIVIC CENTER DR, NILES, IL 607143207 (Tel: 8475831900)

👤
Provider Name / Credentials Updated August 26, 2016

Recorded as MIA SEO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2016

Dentist (License #019029912 in IL)

🟢
Initial NPI Registration & Enumeration September 05, 2008

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: 1366690067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2008
Last Update: August 26, 2016
Sole Proprietor: No
Update or Correct Profile

Mailing Address

876 Civic Center Dr

Niles, IL 607143207

Phone: 8475831900

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.