Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982741112 Individual Practitioner Female Practitioner

Dr. So-Yeon Park , DDS

Dentist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. So-Yeon Park, DDS is a registered healthcare professional specializing in Dentist in Chicago, IL. Practice services are available at 2316 W MADISON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2316 W Madison St

Chicago, IL 606122228

Telephone 3124910601
Fax 3124910602
Associated Practice Facility / Clinic
🏢 Ash Dental Pc Facility NPI 1053584599

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1207 Specialists

Practicing in Chicago, IL (4751 Statewide)

Telehealth Adoption Rate
0.1% 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019026733

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9179986 (IL)

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1033733795

Doctor of Dental Medicine

Bryan Tran

Dentist - General Practice

NPI 1033857800
Dr. Suzie Oh , DMD

Dentist - General Practice

NPI 1043740491

Doctor of Dental Medicine

NPI 1083282107

Doctor of Dental Medicine

Doctor of Dental Surgery

NPI 1154477578

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2016

Registered at 2316 W MADISON ST, CHICAGO, IL 606122228 (Tel: 3124910601)

📍
Updated Business Mailing Address February 09, 2016

Registered at 611 MILWAUKEE AVE, STE 185, GLENVIEW, IL 600257801 (Tel: 8479980011)

👤
Provider Name / Credentials Updated February 09, 2016

Recorded as SO-YEON PARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2016

Dentist (License #019026733 in IL)

🟢
Initial NPI Registration & Enumeration January 30, 2007

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: 1982741112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: February 09, 2016
Sole Proprietor: No

Mailing Address

611 Milwaukee Ave, Ste 185

Glenview, IL 600257801

Phone: 8479980011

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.