DR. TAE-HOON PARK D.D.S.
NPI 1720271752
Dentist - General Practice in Lewisburg, TN

Q: What is Tae-hoon Park's NPI number?

The NPI number for Tae-hoon Park is 1720271752. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Q: What is Tae-hoon Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tae-hoon Park was last updated on December 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since August 22, 2007

1300 N ELLINGTON PKWY, LEWISBURG, TN 37091(931) 359-2825 Get Directions Write a Review

NPPES record last updated: December 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2024, Oct 16, 2018 (2 updates tracked since 2018).

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About Dr. Tae-hoon Park D.d.s. NPPES

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

DR. TAE-HOON PARK D.D.S. (NPI 1720271752) is an individual general practice provider in Lewisburg, Tennessee, licensed in Tennessee (11619) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1720271752

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TAE-HOON PARKCredential: D.D.S.

Location Address1300 N ELLINGTON PKWYLewisburg, TN 37091-2218

Mailing Address1300 N Ellington PkwyLewisburg, TN 37091-2218 · (931) 359-2825

Phone(931) 359-2825

Sole ProprietorYes

Enumeration DateAugust 22, 2007

Last NPPES UpdateDecember 7, 20242 updates tracked since enumeration

NPPES CertifiedDecember 7, 2024

✔ NPI 1720271752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in TN · 11619✔ Licensed in CA · 56079✔ Licensed in AK · 123971

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.

1300 N ELLINGTON PKWY, Lewisburg, TN 37091

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

DISCOVERY EXPEDITIONS

Dentist (General Practice)

1300 N ELLINGTON PKWY
LEWISBURG, TN 37091

Marshall County (931) 359-2825

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 Tae-hoon Park's NPI number?

The NPI number for Tae-hoon Park is 1720271752. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Tae-hoon Park located?

Tae-hoon Park practices at 1300 N Ellington Pkwy, Lewisburg, TN 37091. The listed phone number is (931) 359-2825.

What is Tae-hoon Park's specialty?

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

What insurance does Tae-hoon Park accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 15 other insurers list Tae-hoon 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 Tae-hoon Park was last updated on December 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.