DR. SOHEE KIM PARK DMD, MHS
NPI 1700800497
Dentist - Periodontics in Columbia, SC

Active since July 26, 2006PECOS Enrolled
456 CLEMSON RD, COLUMBIA, SC 29229(803) 788-9715(803) 788-9705 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sohee Kim Park Dmd, Mhs NPPES

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

DR. SOHEE KIM PARK DMD, MHS (NPI 1700800497) is an individual periodontics provider in Columbia, South Carolina, licensed in South Carolina (3592) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700800497
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SOHEE KIM PARKCredential: DMD, MHS
Location Address456 CLEMSON RDColumbia, SC 29229-7925
Mailing Address456 Clemson RdColumbia, SC 29229-7925 · (803) 788-9715 · Fax (803) 788-9705
Fax(803) 788-9705
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateMarch 27, 2019
NPI 1700800497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in SC · 3592
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

456 CLEMSON RD, Columbia, SC 29229

Other Identifiers 1

MedicaidZX3592SC

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)

Dr. Sohee Kim Park Dmd, Mhs 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 29229 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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

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

Dentist (Periodontics)
456 CLEMSON RD
COLUMBIA, SC 29229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700800497, enumerated as an "individual" on July 26, 2006.

The provider is located at 456 CLEMSON RD COLUMBIA, SC 29229 and the phone number is (803) 788-9715.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.