Active NPIIndividual providerSole proprietor

Dr. Chun Y Park, DMD

Dentist, General Practice in Oradell, New Jersey

NPI Number1386731198
Practice location
680 Kinderkamack RD, Suite 303, Oradell, NJ 07649-1600
Fax
201-262-4555
Last updated
July 11, 2012

Chun Y Park is a Dentist, General Practice based in Oradell, NJ. Chun Y Park practices in Oradell, NJ and has the professional credentials of DMD. The NPI Number for Chun Y Park is 1386731198 and holds a License No. DI022646 (NJ). The current practice location address for Chun Y Park is 680 Kinderkamack RD, Suite 303, Oradell, NJ 07649-1600 and can be reached out via phone at 201-262-4500 and via fax at 201-262-4555.

Provider Profile Details

NPI Number
1386731198
Provider Name
Chun Y Park
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
680 Kinderkamack RD, Suite 303, Oradell, NJ 07649-1600
Phone Number
201-262-4500
Fax Number
201-262-4555
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
October 5, 2006
Last Update Date
July 11, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Kinderkamack RD
Suite 303
Oradell, NJ 07649-1600
Zip
07649-1600
Phone Number
201-262-4500
Fax Number
201-262-4555
Oradell, NJ 07649Get directions →

Provider Business Mailing Address Details

Address
680 Kinderkamack RD
Suite 303
Oradell, NJ 07649-1600
City
Oradell
State
NJ
Zip
07649-1600
Phone Number
201-262-4500
Fax Number
201-262-4555

License Information

License Number (1)
DI022646
License State (1)
NJ
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
053262-1
License State (2)
NY
Taxonomy (2)
Dentist, General Practice · 1223G0001X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, General Practice providers near Oradell, NJ

View all Dentist, General Practice providers in Oradell →

Frequently Asked Questions

What is the NPI number of Dr. Chun Y Park, DMD?

The NPI number of Dr. Chun Y Park, DMD is 1386731198. It was assigned on October 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Chun Y Park, DMD?

Dr. Chun Y Park, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI022646.

Where does Dr. Chun Y Park, DMD practice?

The practice location is 680 Kinderkamack RD, Suite 303, Oradell, NJ 07649-1600. The office can be reached at 201-262-4500 (phone) or 201-262-4555 (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 1386731198 directly on the NPPES registry website.

Browse related providers