Doctor profile · Federal record
Dr. So Eun Park, DDS
Dentist · Dentist · Davenport, IA
- NPI 1871071621
- 8 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3301 W Kimberly RD Ste 5
Davenport, IA 528063047
(888) 988-4066
fax (847) 496-4850 - Mailing address
-
2050 E Algonquin RD Ste 610
Schaumburg, IL 601734166
Credentials & registration
- NPI registered
- August 2018 — 8 yrs on file
- Profile last updated
- June 25, 2020
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- Iowa #09596 · Illinois #019.032300
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1871071621. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$35
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| OraPharma, A Division of Bausch Health US, LLC | 1 | $20.51 | |
| Voco America INC. | 1 | $14.82 |
By nature of payment
Frequently asked questions
What is Dr. So Eun Park's medical specialty?
Dr. So Eun Park practices Dentist in Davenport, IA.
Where does Dr. So Eun Park practice?
Dr. So Eun Park practices at 3301 W Kimberly RD Ste 5, Davenport, IA 528063047. Office phone: 8889884066.
What is Dr. So Eun Park's NPI?
Dr. So Eun Park's National Provider Identifier (NPI) is 1871071621, issued by NPPES.