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So Eun Park, DDS

Dentist in Davenport, IA · enumerated 2018 · practices at Familia Dental Davenport LLC.

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

National Provider Identifier

1871071621

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Registry record

Entity type Individual (Type 1)
Name So Eun Park
Credential DDS
Sex Female
Practice address 3301 W Kimberly Rd Ste 5, Davenport, IA, 52806
Phone (888) 988-4066
Fax (847) 496-4850
Enumeration date Aug 3, 2018
Last updated in NPPES Jun 25, 2020

Taxonomy & licenses

122300000X Dentist Dental Providers · License 019.032300 (IL) Secondary
122300000X Dentist Dental Providers · License 09596 (IA) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

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

Where does So Eun Park practice?
The practice location on file with NPPES is in Davenport, IA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for So Eun Park?
The National Provider Identifier (NPI) for So Eun Park is 1871071621, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-25.