- Practice location
- 77 S Main St, Waterbury, VT 05676-1555
- Phone
- 802-244-6366
- Fax
- —
- Last updated
- May 31, 2023
Seong Hwan Park is a Dentist based in Waterbury, VT. Seong Hwan Park practices in Waterbury, VT and has the professional credentials of DDS. The NPI Number for Seong Hwan Park is 1801589346 and holds a License No. 0160134190 (VT). The current practice location address for Seong Hwan Park is 77 S Main St, Waterbury, VT 05676-1555 and can be reached out via phone at 802-244-6366.
Provider Profile Details
- NPI Number
- 1801589346
- Provider Name
- Seong Hwan Park
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 77 S Main St, Waterbury, VT 05676-1555
- Phone Number
- 802-244-6366
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 31, 2023
- Last Update Date
- May 31, 2023
- Certification Date
- May 31, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 77 S Main St
Waterbury, VT 05676-1555 - City
- Waterbury
- State
- Vermont
- Zip
- 05676-1555
- Phone Number
- 802-244-6366
Provider Business Mailing Address Details
- Address
- 3512 Childress Ter
Burtonsville, MD 20866-2016 - City
- Burtonsville
- State
- MD
- Zip
- 20866-2016
- Phone Number
- 301-787-1344
License Information
- License Number
- 0160134190
- License State
- VT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Waterbury, VT
View all Dentists in Waterbury →Frequently Asked Questions
What is the NPI number of Dr. Seong Hwan Park, DDS?
The NPI number of Dr. Seong Hwan Park, DDS is 1801589346. It was assigned on May 31, 2023 and is currently active in the NPPES registry.
What is the specialty of Dr. Seong Hwan Park, DDS?
Dr. Seong Hwan Park, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in VT under license number 0160134190.
Where does Dr. Seong Hwan Park, DDS practice?
The practice location is 77 S Main St, Waterbury, VT 05676-1555. The office can be reached at 802-244-6366 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801589346 directly on the NPPES registry website.