Individual provider · Type 1 NPI

Hyunkyu Park, DMD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1851943674 Active

Practice location

22201 Moross Rd Ste 155
Detroit, MI 48236-2152

Call (313) 499-4775 Map

Other practice locations

  • 1060 Highway 15 S, Hutchinson, MN 55350-3157 · (320) 234-6677

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2901601710 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Dentist 122300000X30.026852 (OH)
Dentist 122300000XD13889 (MN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1851943674

Hyunkyu Park, DMD's National Provider Identifier is 1851943674, issued on Jul 11, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Aug 7, 2025.