SearchTennessee1223G0001X

Tae-Hoon Park, D.D.S

NPI 1720271752 · on the registry since 2007 · sole proprietor

Practice

Address
1300 N Ellington Pkwy
Lewisburg, TN 37091
Phone
(931) 359-2825
Organisation at this address
Discovery Expeditions
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
1223G0001X
Licence states on file
CA, AK, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-07

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 Tennessee