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DR. SANG PARK D.M.D.
NPI 1588064026
Dentist in Havertown, PA

Active since September 03, 2014PECOS Enrolled
2050 W CHESTER PIKE, SUITE 4, HAVERTOWN, PA 19083(610) 789-0158(610) 789-9238 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sang Park D.m.d. NPPES

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

DR. SANG PARK D.M.D. (NPI 1588064026) is an individual dentist in Havertown, Pennsylvania, licensed in Pennsylvania (DS037330) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588064026
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SANG PARKCredential: D.M.D.
Location Address2050 W CHESTER PIKE, SUITE 4Havertown, PA 19083-2744
Mailing Address2050 W Chester Pike, Suite 4Havertown, PA 19083-2744 · (610) 789-0158 · Fax (610) 789-9238
Phone(610) 789-0158
Fax(610) 789-9238
Sole ProprietorNo
Enumeration DateSeptember 3, 2014
Last NPPES UpdateSeptember 5, 2014
✔ NPI 1588064026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS037330
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2050 W CHESTER PIKE, Havertown, PA 19083
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Dr. Sang Park D.m.d. 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 19083 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 4

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

PIETRA DELPIZZO
Music Therapist
2050 W CHESTER PIKE, SUITE # 115
HAVERTOWN, PA 19083
Delaware County (610) 449-9669
JACQUES KHOURY M.D.
Internal Medicine (Gastroenterology)
2050 W CHESTER PIKE, SUITE 200
HAVERTOWN, PA 19083
Delaware County (610) 449-1525
PAWEL CZESLAW MACHURA
Music Therapist
2050 W CHESTER PIKE, SUITE 115
HAVERTOWN, PA 19083
Delaware County (610) 449-9669
JOHN J LEE MD
Ophthalmology
2050 W CHESTER PIKE, SUITE 100
HAVERTOWN, PA 19083
Delaware County (610) 789-6701

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 Sang Park's NPI number?

The NPI number for Sang Park is 1588064026. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Where is Sang Park located?

Sang Park practices at 2050 W Chester Pike Suite 4, Havertown, PA 19083. The listed phone number is (610) 789-0158.

What is Sang Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sang Park enrolled in Medicare?

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

What insurance does Sang Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Sang 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 Sang Park was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.