Dr. Jill Park
Dentist, General Practice in Fall River, Massachusetts
1124389606- Practice location
- 45 Mariano Bishop Blvd, Fall River, MA 02721-2346
- Phone
- 781-580-9081
- Fax
- —
- Last updated
- May 31, 2012
Jill Park is a Dentist, General Practice based in Fall River, MA. Jill Park practices in Fall River, MA. The NPI Number for Jill Park is 1124389606 and holds a License No. DN1855958 (MA). The current practice location address for Jill Park is 45 Mariano Bishop Blvd, Fall River, MA 02721-2346 and can be reached out via phone at 781-580-9081.
Provider Profile Details
- NPI Number
- 1124389606
- Provider Name
- Jill Park
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 45 Mariano Bishop Blvd, Fall River, MA 02721-2346
- Phone Number
- 781-580-9081
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 31, 2012
- Last Update Date
- May 31, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Mariano Bishop Blvd
Fall River, MA 02721-2346 - City
- Fall River
- State
- Massachusetts
- Zip
- 02721-2346
- Phone Number
- 781-580-9081
Provider Business Mailing Address Details
- Address
- 400 Technology Center Dr
Apt #4209
Stoughton, MA 02072-4714 - City
- Stoughton
- State
- MA
- Zip
- 02072-4714
- Phone Number
- 781-580-9081
License Information
- License Number
- DN1855958
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jill Park?
The NPI number of Dr. Jill Park is 1124389606. It was assigned on May 31, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Jill Park?
Dr. Jill Park is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1855958.
Where does Dr. Jill Park practice?
The practice location is 45 Mariano Bishop Blvd, Fall River, MA 02721-2346. The office can be reached at 781-580-9081 (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 1124389606 directly on the NPPES registry website.