Organization
CLEBURNE DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIN PARK DMD (OWNER DENTIST)
(817) 522-3166
Entity
Organization
Contact information
Practice address
1607 W HENDERSON ST STE K, CLEBURNE, TX 76033-4179
(817) 522-3166
Mailing address
1607 W HENDERSON ST STE K, CLEBURNE, TX 76033-4179
(817) 522-3166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3427577
—
TX
Enumeration date
07/18/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us