Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SE HA PARK, DMD
Active Sole ProprietorDR. SE HA PARK, DMD is a Dentist healthcare provider located in JBSA LACKLAND, Texas. NPI 1821611989 is currently active in the NPPES registry. Verify at CMS.
Dentist · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1821611989
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2020 (6.2156161612838 yrs)
- Last Updated
- Jul 14, 2025
- Licenses
-
0401416968 (VA)0401416968 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2133 PEPPERRELL ST BLDG 3352JBSA LACKLAND, TX, 782365313Browse TX providers · Browse ZIP 78236
- Phone
- 2102926258
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
- Additional Specialty
- Student (Health Education/Training)
Other Dentist Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID L MAPES | D.D.S. | 1801880588 |
| ENDER SUKRI OZGUL | DDS | 1346237252 |
| DR. ERIC L CATHEY | DDS | 1285619486 |
| DR. WILLIAM MICHAEL ANDERSON | DMD, MS | 1518946995 |
| DR. JAMES JUDE RENDA | DMD, MS | 1063525632 |
| DR. CHRISTOPHER MICHAEL WOLBERT | D.D.S. | 1174737894 |
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.