Active NPIIndividual providerSole proprietor

Dr. Candice Park, DDS

Dentist, General Practice in Metuchen, New Jersey

NPI Number1487883344
Practice location
244 Main St, Metuchen, NJ 08840-2728
Fax
—
Last updated
July 13, 2009

Candice Park is a Dentist, General Practice based in Metuchen, NJ. Candice Park practices in Metuchen, NJ and has the professional credentials of DDS. The NPI Number for Candice Park is 1487883344 and holds a License No. 22DI02412900 (NJ). The current practice location address for Candice Park is 244 Main St, Metuchen, NJ 08840-2728 and can be reached out via phone at 732-548-1218.

Provider Profile Details

NPI Number
1487883344
Provider Name
Candice Park
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
244 Main St, Metuchen, NJ 08840-2728
Phone Number
732-548-1218
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 13, 2009
Last Update Date
July 13, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
244 Main St
Metuchen, NJ 08840-2728
Zip
08840-2728
Phone Number
732-548-1218
Metuchen, NJ 08840Get directions →

Provider Business Mailing Address Details

Address
244 Main St
Metuchen, NJ 08840-2728
City
Metuchen
State
NJ
Zip
08840-2728
Phone Number
323-509-8342

License Information

License Number
22DI02412900
License State
NJ
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. Candice Park, DDS?

The NPI number of Dr. Candice Park, DDS is 1487883344. It was assigned on July 13, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Candice Park, DDS?

Dr. Candice Park, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02412900.

Where does Dr. Candice Park, DDS practice?

The practice location is 244 Main St, Metuchen, NJ 08840-2728. The office can be reached at 732-548-1218 (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 1487883344 directly on the NPPES registry website.

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