OrganizationActive
Park Dental Group, LLC
NPI 1275908923 · General Practice Dentistry · Rock Hill, SC
Provider details
- NPI number
- 1275908923
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jae Sung Park, President(803) 366-1456
- License
- 8288 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1578 Constitution Blvd
Ste 01
Rock Hill, SC 29732-3543
Phone: (803) 366-1456
Fax: (803) 324-0117
Street-level locationGet directions
Mailing address
1578 Constitution Blvd
Rock Hill, SC 29732-3543
Other names (DBA / former)
- Doing business as
- Palmetto Dental
Registry dates
- Enumerated
- 2015-12-07
- Last updated
- 2015-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.