TAESU PAK DENTISTRY – NPI #1316766314
Clinic/Center

TAESU PAK DENTISTRY is an AHC clinic located in AUBURN HILLS, MI. NPPES has assigned the NPI number 1316766314 to TAESU PAK DENTISTRY on October 07, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TAESU PAK DENTISTRY below.

NPI Profile for
TAESU PAK DENTISTRY

NPI Number
1316766314
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TAESU PAK DENTISTRY
Primary location
4373 INTERPARK DR
AUBURN HILLS, MI 48326
Phone: (650) 339-5993 Fax:
Mailing address
2906 BEMBRIDGE RD
ROYAL OAK, MI 48073-2925
Phone: Fax:
Organization Subpart
No
Authorized Official
TAESU PAK
OWNER DENTIST
Phone: (650) 339-5993
Updated
Certification Date
Oct 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.