Soo Kyeong Park is a Ellicott City, Maryland based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Soo Kyeong Park is 17486 for General Practice Dentistry in Maryland. Her current practice location is 9501 Old Annapolis Rd Ste 200a, Ellicott City. Patients can reach her at 410-740-1484.
Soo Kyeong Park is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Soo Kyeong Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Soo Kyeong Park
Specialization:
Dentist
Gender:
Female
Credentials:
DENTIST(DMD)
Accepts Medicare Assignment:
No
Practice Address:
9501 Old Annapolis Rd Ste 200a, Ellicott City, Maryland, 21042-6336
Phone:
410-740-1484
Fax:
410-740-1486
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 are as mentioned below.
NPI Number:
1821721549
NPI Enumeration Date:
08 Jul, 2022
NPI Last Update On:
08 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Soo Kyeong Park are as mentioned below.
License Number
Specialization
State
Status
17486
General Practice Dentistry
Maryland
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10000 Town Center Ave Apt 221, Columbia, Maryland
Zip:
21044-5428
Phone Number:
347-944-7533
Patients can reach Soo Kyeong Park at 9501 Old Annapolis Rd Ste 200a, Ellicott City, Maryland or can call to book an appointment on 410-740-1484. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.