Dr Seong Hwan Park, DDS is a medicare enrolled "Dentist" provider in Waterbury, Vermont. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Dentist. His current practice location is
77 S Main St, Waterbury, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 244-6366.
Dr Seong Hwan Park is licensed to practice in Vermont (license number 0160134190) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1801589346.
Healthcare Provider's Profile
| Full Name | Dr Seong Hwan Park |
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| Gender | Male |
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| Speciality | Dentist |
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| Experience | 3 Years |
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| Location | 77 S Main St, Waterbury, Vermont |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Seong Hwan Park graduated from medical school in 2022
NPI Data:
- NPI Number: 1801589346
- Provider Enumeration Date: 05/31/2023
- Last Update Date: 05/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032624366
- Enrollment ID: I20250715002684
Medical Identifiers
Medical identifiers for Dr Seong Hwan Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801589346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 0160134190 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Seong Hwan Park is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Seong Hwan Park, DDS 3512 Childress Ter, Burtonsville, MD 20866-2016 Ph: (301) 787-1344 | Dr Seong Hwan Park, DDS 77 S Main St, Waterbury, VT 05676-1555 Ph: (802) 244-6366 |
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