Jae Sung Park, D.M.D.
NPI 1134551716 · General Practice Dentistry · Rock Hill, SC
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jae Sung Park, D.M.D. is a General Practice Dentistry provider in Rock Hill, SC (NPI 1134551716).
Provider details
- NPI number
- 1134551716
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- DGD.8288 GD (SC)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-08-06
- Last updated
- 2020-12-24
- Certified
- 2020-12-24
Frequently asked questions
- What is Jae Sung Park's NPI number?
- Jae Sung Park's National Provider Identifier (NPI) is 1134551716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jae Sung Park's specialty?
- Jae Sung Park is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jae Sung Park located?
- Jae Sung Park's practice location on file with NPPES is 1578 Constitution Blvd, Rock Hill, SC 29732-3543.
- What is Jae Sung Park's phone number?
- The practice phone number listed in the NPPES registry for Jae Sung Park is (803) 366-1456.
- Does Jae Sung Park accept Medicare?
- Jae Sung Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jae Sung Park's NPI active?
- Yes — Jae Sung Park's NPI (1134551716) is active in the NPPES registry as of the last update on 2020-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.