Sam Park, D.D.S

NPI 1295871267 · on the registry since 2007

Practice

Address: 2959 S Wallace St
Children'S Dental World
Chicago, IL 60616
Phone: (312) 326-5437
Fax: (312) 842-5338
Organisation at this address: Vongluekiat & Choi Llc
Children'S Dental World, Llc
Bridgeport Dental Specialists Llc
Bridgeport Dental Specialists, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Additional practice sites

5826 Dempster St, Morton Grove, IL

Registry record

Primary taxonomy: Pediatric Dentistry
1223P0221X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-08-06

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 Illinois