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Dr. Jae Sung Park, D.M.D.

General Practice Dentistry in Rock Hill, SC · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134551716

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Registry record

Entity type Individual (Type 1)
Name Dr. Jae Sung Park
Credential D.M.D.
Sex Male
Practice address 1578 Constitution Blvd, Suite 01, Rock Hill, SC, 29732
Phone (803) 366-1456
Fax (803) 324-0117
Enumeration date Aug 6, 2013
Last updated in NPPES Dec 24, 2020

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License DGD.8288 GD (SC) Primary
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

Other identifiers

Identifier Type State Issuer
ZX8288 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Jae Sung Park?
Jae Sung Park is registered in NPPES with the primary taxonomy of General Practice Dentistry. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-24.