DR. SEONG HWAN PARK DDS
NPI 1801589346
Dentist in Waterbury, VT

Active since May 31, 2023PECOS Enrolled
77 S MAIN ST, WATERBURY, VT 05676(802) 244-6366 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Seong Hwan Park Dds NPPES

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

DR. SEONG HWAN PARK DDS (NPI 1801589346) is an individual dentist in Waterbury, Vermont, licensed in Vermont (0160134190) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801589346
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SEONG HWAN PARKCredential: DDS
Location Address77 S MAIN STWaterbury, VT 05676-1555
Mailing Address3512 Childress TerBurtonsville, MD 20866-2016 · (301) 787-1344
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 31, 2023
NPPES CertifiedMay 31, 2023
NPI 1801589346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VT · 0160134190
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.

77 S MAIN ST, Waterbury, VT 05676

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. Seong Hwan Park Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032624366
PECOS Enrollment IDI20250715002684
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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 05676 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.89
  • Minimum New Patient Price $55.8
  • Maximum New Patient Price $168.48
  • Average New Patient Copayment $21.47
  • Minimum New Patient Copayment $13.95
  • Maximum New Patient Copayment $42.12

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.56
  • Minimum Established Patient Price $18.08
  • Maximum Established Patient Price $137.84
  • Average Established Patient Copayment $17.39
  • Minimum Established Patient Copayment $4.52
  • Maximum Established Patient Copayment $34.46

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist
77 S MAIN ST
WATERBURY, VT 05676
Dentist (General Practice)
77 S MAIN ST, SUITE 3
WATERBURY, VT 05676
Dentist
77 S MAIN ST
WATERBURY, VT 05676
Psychologist (Counseling)
77 S MAIN ST
WATERBURY, VT 05676

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801589346, enumerated as an "individual" on May 31, 2023.

The provider is located at 77 S MAIN ST WATERBURY, VT 05676 and the phone number is (802) 244-6366.

Dentist with taxonomy code 122300000X.

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