Active NPIIndividual providerSole proprietor

Dr. Yeun-Joung Park, DDS

Dentist, General Practice in Chelsea, Massachusetts

NPI Number1295105245
Practice location
100 Everett Ave Ste 5, Chelsea, MA 02150-2328
Fax
—
Last updated
October 3, 2015

Yeun-Joung Park is a Dentist, General Practice based in Chelsea, MA. Yeun-Joung Park practices in Chelsea, MA and has the professional credentials of DDS. The NPI Number for Yeun-Joung Park is 1295105245 and holds a License No. 1857065 (MA). The current practice location address for Yeun-Joung Park is 100 Everett Ave Ste 5, Chelsea, MA 02150-2328 and can be reached out via phone at 617-844-4444.

Provider Profile Details

NPI Number
1295105245
Provider Name
Yeun-Joung Park
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
100 Everett Ave Ste 5, Chelsea, MA 02150-2328
Phone Number
617-844-4444
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2015
Last Update Date
October 3, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Everett Ave Ste 5
Chelsea, MA 02150-2328
Zip
02150-2328
Phone Number
617-844-4444
Chelsea, MA 02150Get directions →

Provider Business Mailing Address Details

Address
1 Repton Pl Unit 1417
Watertown, MA 02472-2498
City
Watertown
State
MA
Zip
02472-2498

License Information

License Number
1857065
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Yeun-Joung Park, DDS?

The NPI number of Dr. Yeun-Joung Park, DDS is 1295105245. It was assigned on October 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Yeun-Joung Park, DDS?

Dr. Yeun-Joung Park, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 1857065.

Where does Dr. Yeun-Joung Park, DDS practice?

The practice location is 100 Everett Ave Ste 5, Chelsea, MA 02150-2328. The office can be reached at 617-844-4444 (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 1295105245 directly on the NPPES registry website.

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