Youn Joo Park
Dentist, General Practice in Mattapan, Massachusetts
1386847382- Practice location
- 90 River St, Mattapan, MA 02126-2914
- Phone
- 617-698-5437
- Fax
- —
- Last updated
- July 8, 2007
Youn Joo Park is a Dentist, General Practice based in Mattapan, MA. Youn Joo Park practices in Mattapan, MA. The NPI Number for Youn Joo Park is 1386847382 and holds a License No. 21856 (MA). The current practice location address for Youn Joo Park is 90 River St, Mattapan, MA 02126-2914 and can be reached out via phone at 617-698-5437.
Provider Profile Details
- NPI Number
- 1386847382
- Provider Name
- Youn Joo Park
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 90 River St, Mattapan, MA 02126-2914
- Phone Number
- 617-698-5437
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 7, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 River St
Mattapan, MA 02126-2914 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2914
- Phone Number
- 617-698-5437
Provider Business Mailing Address Details
- Address
- 415 N Grand Ave
Pueblo, CO 81003-3111 - City
- Pueblo
- State
- CO
- Zip
- 81003-3111
- Phone Number
- 719-562-4461
License Information
- License Number
- 21856
- 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. | |||
Other Dentist, General Practice providers near Mattapan, MA
View all Dentist, General Practice providers in Mattapan →- Dani StanboulyDentist, General Practice · NPI 1710688932
- Dr. E L Whitworth Jr., DDSDentist, General Practice · NPI 1992836209
- Dr. Heather Mcdade, DMDDentist, General Practice · NPI 1730602509
- Mattapan Smiles Youth Dentistry, LLCDentist, General Practice · NPI 1619065901
- Naijie Guan, DMDDentist, General Practice · NPI 1922156652
- Omer A Ahmed, BDSDentist, General Practice · NPI 1568366110
Frequently Asked Questions
What is the NPI number of Youn Joo Park?
The NPI number of Youn Joo Park is 1386847382. It was assigned on June 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Youn Joo Park?
Youn Joo Park is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21856.
Where does Youn Joo Park practice?
The practice location is 90 River St, Mattapan, MA 02126-2914. The office can be reached at 617-698-5437 (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 1386847382 directly on the NPPES registry website.