Active NPIOrganization

James Park D.m.d

Dentist, General Practice in Southbridge, Massachusetts

NPI Number1366936841
Practice location
44 Everett St, Southbridge, MA 01550-2620
Fax
508-765-5862
Last updated
June 19, 2018

James Park D.m.d is a healthcare organization based in Southbridge, MA. James Park D.m.d practices in Southbridge, MA. The NPI Number for James Park D.m.d is 1366936841 and holds a License No. DN1856630 (MA). The current practice location address for James Park D.m.d is 44 Everett St, Southbridge, MA 01550-2620 and can be reached out via phone at 508-764-4600 and via fax at 508-765-5862.

Provider Profile Details

NPI Number
1366936841
Provider Name
James Park D.m.d
Provider Entity Type
Organization
Address
44 Everett St, Southbridge, MA 01550-2620
Phone Number
508-764-4600
Fax Number
508-765-5862
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. James Park, DMD · Dentist · 508-764-4600
Other Names
James Park D.m.d (Former Legal Business Name)
Provider Enumeration Date
June 19, 2018
Last Update Date
June 19, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Everett St
Southbridge, MA 01550-2620
Zip
01550-2620
Phone Number
508-764-4600
Fax Number
508-765-5862
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
44 Everett St
Southbridge, MA 01550-2620
City
Southbridge
State
MA
Zip
01550-2620
Phone Number
508-764-4600
Fax Number
508-765-5862

License Information

License Number
DN1856630
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 James Park D.m.d?

The NPI number of James Park D.m.d is 1366936841. It was assigned on June 19, 2018 and is currently active in the NPPES registry.

What is the specialty of James Park D.m.d?

James Park D.m.d is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1856630.

Where does James Park D.m.d practice?

The practice location is 44 Everett St, Southbridge, MA 01550-2620. The office can be reached at 508-764-4600 (phone) or 508-765-5862 (fax).

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 1366936841 directly on the NPPES registry website.

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