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SEONG JIN PARK
NPI 1629682943
Dental Hygienist in Fort Leonard Wood, MO

Active since September 03, 2020
6958 NEBRASKA AVE BLDG 1608, FORT LEONARD WOOD, MO 65473(573) 596-0408 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seong Jin Park NPPES

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

SEONG JIN PARK (NPI 1629682943) is an individual dental hygienist in Fort Leonard Wood, Missouri and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1629682943
Entity TypeIndividualMale
Primary Taxonomy124Q00000X
Provider Legal NameSEONG JIN PARK
Location Address6958 NEBRASKA AVE BLDG 1608Fort Leonard Wood, MO 65473-1618
Mailing Address6958 Nebraska Ave Bldg 1608Fort Leonard Wood, MO 65473-1618 · (573) 596-0408
Phone(573) 596-0408
Sole ProprietorYes
Enumeration DateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1629682943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
Definition
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 regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
6958 NEBRASKA AVE BLDG 1608, Fort Leonard Wood, MO 65473
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Other Providers at the Same Location NPPES 15

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

DR. BRADY O THOMPSON DDS
Dentist
6958 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473
Pulaski County (537) 596-0364
MARIE T WELTON DDS
Dentist (General Practice)
6958 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0364
TYLER CRAIG CHRISTIANSEN DMD
Dentist
6958 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0364
JORGE AORI MARTELL
Dental Hygienist
6958 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0408
DR. BOZHAO MEN DDS
Dentist
6958 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1475
JOY LEE CREASON
Dental Hygienist
6958 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0364
APRIL MARIE NELSON RDH
Dental Hygienist
6958 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0364
YUCHENG WU
Dental Hygienist
6958 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0364

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 Seong Jin Park's NPI number?

The NPI number for Seong Jin Park is 1629682943. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Seong Jin Park located?

Seong Jin Park practices at 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0408.

What is Seong Jin Park's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Seong Jin Park was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.