BYUNGCHUL PARK D.D.S.
NPI 1316317092
Dentist - General Practice in New London, CT

Active since October 06, 2015PECOS Enrolled
258 S FRONTAGE RD, NEW LONDON, CT 06320(860) 437-3462 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Byungchul Park D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BYUNGCHUL PARK D.D.S. (NPI 1316317092) is an individual general practice provider in New London, Connecticut, licensed in Connecticut (011494) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316317092
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBYUNGCHUL PARKCredential: D.D.S.
Location Address258 S FRONTAGE RDNew London, CT 06320-2641
Mailing Address258 S Frontage RdNew London, CT 06320-2641 · (860) 437-3462
Sole ProprietorNo
Enumeration DateOctober 6, 2015
NPI 1316317092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CT · 011494
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

258 S FRONTAGE RD, New London, CT 06320

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Byungchul Park D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Dentist
258 S FRONTAGE RD
NEW LONDON, CT 06320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Byungchul Park's NPI number?

The NPI number for Byungchul Park is 1316317092. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Byungchul Park located?

Byungchul Park practices at 258 S Frontage Rd, New London, CT 06320. The listed phone number is (860) 437-3462.

What is Byungchul Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Byungchul Park enrolled in Medicare?

Yes. Byungchul Park is registered in the Medicare PECOS enrollment system.

What insurance does Byungchul Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Byungchul Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Byungchul Park was last updated on October 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.