Taesu Pak, DDS

General Practice Dentistry · Royal Oak, MI

Individual Active NPI

NPI number 1366051146

Practice location

1524 Maryland Club Dr
Royal Oak, MI 48067-3392
Phone
(650) 339-5993

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NPI record

NPI
1366051146
Entity type
Individual (Type 1)
Enumeration date
July 28, 2020
Last updated
July 28, 2020
Certified
July 28, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901600671 MI

About Dr. Pak

Taesu Pak, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1524 Maryland Club Dr, Royal Oak, MI 48067-3392. The NPI number 1366051146 was assigned on July 28, 2020 and the record was last updated on July 28, 2020.

Dr. Pak lists a license in the registry: #2901600671 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Taesu Pak, DDS?

The NPI number is 1366051146.

What is the phone number of Dr. Pak?

The phone number listed for the practice location is (650) 339-5993.

Where is Dr. Pak located?

1524 Maryland Club Dr, Royal Oak, MI 48067-3392.

What is the taxonomy code for Dr. Pak?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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