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Jae Sung Park, D.M.D
NPI 1134551716 · on the registry since 2013
Practice
- Address
- 1578 Constitution Blvd
Suite 01
Rock Hill, SC 29732 - Phone
- (803) 366-1456
- Fax
- (803) 324-0117
- Organisation at this address
- Trevor Klein Dds Llc
Palmetto Surgery Llc
Park Dental Group, Llc
Floyd Brace Company, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina