Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEONG JIN PARK
Active Sole ProprietorSEONG JIN PARK is a Dental Hygienist healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1629682943 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1629682943
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2020 (5.8007005117804 yrs)
- Last Updated
- Sep 3, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
6958 NEBRASKA AVE BLDG 1608FORT LEONARD WOOD, MO, 654731618Browse MO providers · Browse ZIP 65473
- Phone
- 5735960408
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in FORT LEONARD WOOD, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. JOOHEE LEE | RDH | 1790935435 |
| LISA DIANE MOSS | RDH | 1497105688 |
| APRIL BLISS | — | 1922451277 |
| JOY LEE CREASON | — | 1417447467 |
| MRS. TRACI ANNE SHAMBO | RDH | 1982198453 |
| JORGE AORI MARTELL | — | 1346855137 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.