Individual provider · Type 1 NPI

Seong Jin Park

Dental Hygienist · Fort Leonard Wood, MO

NPI number 1629682943 Active

Practice location

6958 Nebraska Ave Bldg 1608
Fort Leonard Wood, MO 65473-1618

Call (573) 596-0408 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XNone listed

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1629682943

Seong Jin Park's National Provider Identifier is 1629682943, issued on Sep 3, 2020. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Sep 3, 2020.