Sung Keun Park, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12682 Issued in NC

Practice address

1936 Heritage Branch Rd Ste 200
Wake Forest, NC 27587-7062

Phone

(984) 401-9001

NPI assigned

Apr 2, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1922493345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 MORNING RIDGE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276169600",
            "telephone_number": "828-551-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 HERITAGE BRANCH RD STE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877062",
            "telephone_number": "984-401-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUNG",
        "middle_name": "KEUN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10017",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Wayne Page, RPH
• Titika D Palmer
• Pampered Paths Counseling and Consulting PLLC
• Ntina Pappas, PA-C
• Paradise Med-Transport LLC
• Natalie Jo Parker, MA, CCC/SLP
• Taniqua Olinda Parker
• Rachel Michelle Parrish-Martin, LCMHC-A
• Colleen Parrish, NP
• Joseph Brian Parrish, M.D.

• General Practice Dentistry in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.