Park, Karen
Park, Karen is an individual health care provider with primary practice located at 125 Medical Cir , West Columbia SC 29169-3655. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Park, Karen can be contacted via phone (803) 796-2637.Contact Information
Primary practice address
125 Medical Cir
West Columbia SC 29169-3655
Phone: (803) 796-2637
Fax: (803) 796-5326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3398 | South Carolina |
Profile Details
| NPI number | 1902864127 |
|---|---|
| LBN Legal business name | Park, Karen |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902864127 | NPPES |
| South Carolina | MEDICAID | Z33982 |
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