PARK DENTAL GROUP LLC NPI 1275908923

NPI Information

PARK DENTAL GROUP, LLC is a general practice dentist in Rock Hill, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PARK DENTAL GROUP, LLC NPI is 1275908923. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Palmetto Dental.

The provider's business location address is:

1578 CONSTITUTION BLVD
STE 01
ROCK HILL, SC
ZIP 29732-543
Phone: (803) 366-1456
Fax: (803) 324-0117

The provider's authorized official is Jae Sung Park .
The authorized official title is President and has the following contact phone number (803) 366-1456.

The enumeration date for this NPI number is 12/7/2015 and was last updated on 12/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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