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Dr. Jae Sung Park, DMD
General Practice Dentistry in Rock Hill, South Carolina
NPI 1134551716

Jae Sung Park is a General Practice Dentistry based in Rock Hill, SC and is specialized in General Practice. Jae Sung Park practices in Rock Hill, SC and has the professional credentials of DMD. The NPI Number for Jae Sung Park is 1134551716 and holds a License No. DGD.8288 GD (South Carolina).

The current practice location address for Jae Sung Park is 1578 Constitution Blvd, Rock Hill, SC and can be reached out via phone at 803-366-1456 and via fax at 803-324-0117.

Location: 1578 Constitution Blvd, Rock Hill, SC, 29732-3543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134551716
Provider Name
Jae Sung Park
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1578 Constitution Blvd, Rock Hill, SC, 29732-3543
Phone Number
803-366-1456
Fax Number
803-324-0117
Provider Enumeration Date
08/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZX8288 05 SC
institution
Provider Business Practice Location Address Details
Address
1578 Constitution Blvd
City
Rock Hill
State
South Carolina
Zip
29732-3543
Phone Number
803-366-1456
Fax Number
803-324-0117
person
Provider Business Mailing Address Details
Address
1578 Constitution Blvd
City
Rock Hill
State
South Carolina
Zip
29732-3543
Phone Number
803-366-1456
Fax Number
803-324-0117
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DGD.8288 GD (South Carolina)
Definition
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.
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