Taesu Pak Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TAESU PAK DENTISTRY

Practice address

4373 Interpark Dr
Auburn Hills, MI 48326

Phone

(650) 339-5993

NPI assigned

Oct 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Taesu Pak, DDSNPI 1366051146

Title

Owner Dentist

Phone

(650) 339-5993

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taesu Pak, DDS

  • General Practice Dentistry
  • Royal Oak, MI
  • NPI 1366051146
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1316766314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 BEMBRIDGE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 INTERPARK DR",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "48326",
            "telephone_number": "650-339-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAESU PAK DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "TAESU",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "650-339-5993",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Eugene Swistak, PH.D.
• Jody Ann Swope X, OT
• Sygnetics, Inc.
• Symmetry Pelvic Health
• Susannah Szeidel, PT
• Mary Catherine Talbot, RPH
• Melanie T Tappen
• Edward A Tashjian, MD
• Patricia Marie Tate, M.S.W.
• Horia M Tatu, M.D.

• Dental Clinic/Center in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.