Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649331505 Individual Practitioner Female Practitioner

Keum Park

Dentist - General Practice • Largo, FL

Professional Overview & Biography Verified Profile Summary

Keum Park is a registered healthcare professional specializing in Dentist - General Practice in Largo, FL. Practice services are available at 10500 ULMERTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10500 Ulmerton Rd
Suite 210

Largo, FL 337713544

Telephone 7275811900
Associated Practice Facility / Clinic
🏢 Holiday Cvs Llc Facility NPI 1861414484

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Largo, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
48 Specialists

Practicing in Largo, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN15469

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Hamid Fini

Dentist - General Practice

NPI 1477613255
Thedosios Frantzis

Dentist - Periodontics

NPI 1619038403

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10500 ULMERTON RD, SUITE 210, LARGO, FL 337713544 (Tel: 7275811900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1770 N WICKHAM RD, MELBOURNE, FL 329358122

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEUM PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN15469 in FL)

🟢
Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649331505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1770 N Wickham Rd

Melbourne, FL 329358122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.