| Dr Jae Sung Park, DMD | |
|
1578 Constitution Blvd, Suite 01, Rock Hill, SC 29732-3543 | |
| (803) 366-1456 | |
| (803) 324-0117 |
| Full Name | Dr Jae Sung Park |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1578 Constitution Blvd, Rock Hill, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134551716 | NPI | - | NPPES |
| ZX8288 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DGD.8288 GD (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jae Sung Park, DMD 1578 Constitution Blvd, Suite 01, Rock Hill, SC 29732-3543 Ph: (803) 366-1456 | Dr Jae Sung Park, DMD 1578 Constitution Blvd, Suite 01, Rock Hill, SC 29732-3543 Ph: (803) 366-1456 |
Yi Feng, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2022 Cherry Rd, Rock Hill, SC 29732 Phone: 803-324-9400 | |
Dr. Tawana Denise Feimster, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 775 Addison Dr Ste 111, Rock Hill, SC 29730 Phone: 980-316-7109 Fax: 980-939-0170 | |
Dr. Michele Boyne, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1562 Constitution Blvd, Ste 102, Rock Hill, SC 29732 Phone: 803-328-8865 Fax: 803-328-8931 | |
Michael Glenn Barker, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1447 Ebenezer Road, Rock Hill, SC 29732 Phone: 803-327-2036 Fax: 803-324-7336 | |
Mrs. Rhonda Gail Carter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 372 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-324-1160 | |
Laura J Mclaughlin, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1342 Ebenezer Rd, Rock Hill, SC 29732 Phone: 803-980-7645 Fax: 803-980-7655 | |
Dr. Margaret June O'connell, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1144 India Hook Rd, Suite F, Rock Hill, SC 29732 Phone: 407-923-1348 |