Kang-Woo D Park, DDS
Dentist in Montclair, New Jersey
1063974459- Practice location
- 83 Park St, Montclair, NJ 07042-3465
- Phone
- 973-744-0881
- Fax
- —
- Last updated
- May 5, 2025
Kang-Woo Daniel Park is a Dentist based in Montclair, NJ. Kang-Woo Daniel Park practices in Montclair, NJ and has the professional credentials of DDS. The NPI Number for Kang-Woo Daniel Park is 1063974459 and holds a License No. 061329 (NY). The current practice location address for Kang-Woo Daniel Park is 83 Park St, Montclair, NJ 07042-3465 and can be reached out via phone at 973-744-0881.
Provider Profile Details
- NPI Number
- 1063974459
- Provider Name
- Kang-Woo Daniel Park
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 83 Park St, Montclair, NJ 07042-3465
- Phone Number
- 973-744-0881
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 3, 2019
- Last Update Date
- May 5, 2025
- Certification Date
- May 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 83 Park St
Montclair, NJ 07042-3465 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3465
- Phone Number
- 973-744-0881
Provider Business Mailing Address Details
- Address
- 83 Park St
Montclair, NJ 07042-3465 - City
- Montclair
- State
- NJ
- Zip
- 07042-3465
- Phone Number
- 973-744-0881
License Information
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Montclair, NJ
View all Dentists in Montclair →Frequently Asked Questions
What is the NPI number of Kang-Woo D Park, DDS?
The NPI number of Kang-Woo D Park, DDS is 1063974459. It was assigned on April 3, 2019 and is currently active in the NPPES registry.
What is the specialty of Kang-Woo D Park, DDS?
Kang-Woo D Park, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 061329.
Where does Kang-Woo D Park, DDS practice?
The practice location is 83 Park St, Montclair, NJ 07042-3465. The office can be reached at 973-744-0881 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063974459 directly on the NPPES registry website.