Active NPIIndividual provider

Byungchul Park, DDS

Dentist, General Practice in New London, Connecticut

NPI Number1316317092
Practice location
258 S Frontage RD, New London, CT 06320-2641
Fax
—
Last updated
October 6, 2015

Byungchul Park is a Dentist, General Practice based in New London, CT. Byungchul Park practices in New London, CT and has the professional credentials of DDS. The NPI Number for Byungchul Park is 1316317092 and holds a License No. 011494 (CT). The current practice location address for Byungchul Park is 258 S Frontage RD, New London, CT 06320-2641 and can be reached out via phone at 860-437-3462.

Provider Profile Details

NPI Number
1316317092
Provider Name
Byungchul Park
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
258 S Frontage RD, New London, CT 06320-2641
Phone Number
860-437-3462
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
October 6, 2015
Last Update Date
October 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
258 S Frontage RD
New London, CT 06320-2641
Zip
06320-2641
Phone Number
860-437-3462
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
258 S Frontage RD
New London, CT 06320-2641
City
New London
State
CT
Zip
06320-2641
Phone Number
860-437-3462

License Information

License Number
011494
License State
CT
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 Byungchul Park, DDS?

The NPI number of Byungchul Park, DDS is 1316317092. It was assigned on October 6, 2015 and is currently active in the NPPES registry.

What is the specialty of Byungchul Park, DDS?

Byungchul Park, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 011494.

Where does Byungchul Park, DDS practice?

The practice location is 258 S Frontage RD, New London, CT 06320-2641. The office can be reached at 860-437-3462 (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 1316317092 directly on the NPPES registry website.

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