So Young Park, DDS

General Practice Dentistry · Eldridge, IA

Individual Active NPI

NPI number 1821510314

Practice location

100 S 4TH St
Unit 2
Eldridge, IA 52748
Phone
(563) 285-5600
Fax
(563) 285-5601

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NPI record

NPI
1821510314
Entity type
Individual (Type 1)
Enumeration date
July 17, 2017
Last updated
July 17, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DDS-09424 IA

Mailing address

410 3rd Ave Apt 1
Coralville, IA 52241-2409
Phone
(734) 255-9641

About Dr. Park

So Young Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 100 S 4TH St, Unit 2, Eldridge, IA 52748. The NPI number 1821510314 was assigned on July 17, 2017 and the record was last updated on July 17, 2017.

Dr. Park lists a license in the registry: #DDS-09424 (IA) 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 So Young Park, DDS?

The NPI number is 1821510314.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (563) 285-5600.

Where is Dr. Park located?

100 S 4TH St, Unit 2, Eldridge, IA 52748.

What is the taxonomy code for Dr. Park?

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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