Dr Seong Hwan Park, DDS is a
Dentist based in Waterbury, Vermont. Dr Seong Hwan Park is licensed to practice in Vermont (license number 0160134190) and his current practice location is
77 S Main St, Waterbury, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 244-6366.
NPI number for Dr Seong Hwan Park is 1801589346 and his current mailing address is 3512 Childress Ter, Burtonsville, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. 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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| Location | 77 S Main St, Waterbury, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801589346
- Provider Enumeration Date: 05/31/2023
- Last Update Date: 05/31/2023
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
NOT enrolled with medicare and thus cannot 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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