Park Dental Group, Llc
Dental Clinic
1578 Constitution Blvd, Ste 01, Rock Hill
South Carolina, 29732-3543
803-366-1456 803-324-0117
Maps & DirectionsPark Dental Group, Llc is a Dental Clinic in Rock Hill, South Carolina. It is located at 1578 Constitution Blvd, Ste 01, Rock Hill, SC and its contact number is 803-366-1456. The authorized person for Park Dental Group, Llc is Dr. Jae Sung Park
who is President of the clinic and their contact number is 803-366-1456. The primary license number for Park Dental Group, Llc is 8288 (General Practice) in South Carolina.
Park Dental Group, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Park Dental Group, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Park Dental Group, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1578 Constitution Blvd, Ste 01, Rock Hill,
South Carolina, 29732-3543 |
| Phone: | 803-366-1456 |
| Fax: | 803-324-0117 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jae Sung Park |
| Position: | President |
| Contact Number: | 803-366-1456 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Park Dental Group, Llc clinic are as mentioned below.
| NPI Number: | 1275908923 |
| NPI Enumeration Date: | 07 Dec, 2015 |
| NPI Last Update On: | 07 Dec, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park Dental Group, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 8288 | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZX8288 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Park Dental Group, Llc
1578 Constitution Blvd, Ste 01
Rock Hill, South Carolina |
| Zip: | 29732-3543 |
| Phone Number: | 803-366-1456 |
| Fax Number: | 803-324-0117 |
Patients can reach Park Dental Group, Llc at
1578 Constitution Blvd, Ste 01, Rock Hill, South Carolina or can
call to book an appointment on 803-366-1456.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.