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Soon Ho Park, DDS

NPI 1629610571ActiveIndividual· Dentist, General Practice· Saipan, MP

Dentist, General Practice (DDS) in Saipan, Northern Mariana Islands, licensed in MP, with an NPI issued in October 2019.

Overview

NPI1629610571
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedOct 11, 2019
Last updated in NPPESApr 3, 2024
Certified by providerApr 3, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X0181MP

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist, General Practice providers in Saipan

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