Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethelyn Jean Pak

Individual provider Dentist · NPI 1083168538

Ethelyn Jean Pak is a Dentist in Smyrna, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2016
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Practice location Address checks out

440 Sam Ridley Pkwy W
Smyrna, TN 37167-2998
Phone: (615) 625-2955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10295 (TN)

Record details

NPI number1083168538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2016
Last updated in NPPESAugust 17, 2016
Mailing address1518 Red Oak Dr., Brentwood, TN 37027

Other providers in Smyrna