Individual provider · Type 1 NPI

Se Ha Park, DMD

Dentist · Jbsa Lackland, TX

NPI number 1821611989 Active

Practice location

2133 Pepperrell St Bldg 3352
Jbsa Lackland, TX 78236-5313

Call (210) 292-6258 Map

Mailing address

633 S Saint Marys St Unit 6502
San Antonio, TX 78205-1260

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X0401416968 (VA)
General Practice Dentistry 1223G0001X0401416968 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

21 other providers at this address

Other dentist providers in Jbsa Lackland

See all in Jbsa Lackland →

About NPI 1821611989

Se Ha Park, DMD's National Provider Identifier is 1821611989, issued on May 24, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jul 14, 2025.