SearchSouth CarolinaGeneral Practice Dentistry

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