Active NPIIndividual provider

Dr. Yeojin Park

Dentist, General Practice in East Orange, New Jersey

NPI Number1578026746
Practice location
134 Evergreen Pl Ste 101, East Orange, NJ 07018-2015
Fax
—
Last updated
November 30, 2021

Yeojin Park is a Dentist, General Practice based in East Orange, NJ. Yeojin Park practices in East Orange, NJ. The NPI Number for Yeojin Park is 1578026746 and holds a License No. 22DI02806300 (NJ). The current practice location address for Yeojin Park is 134 Evergreen Pl Ste 101, East Orange, NJ 07018-2015 and can be reached out via phone at 973-968-6700.

Provider Profile Details

NPI Number
1578026746
Provider Name
Yeojin Park
Provider Entity Type
Individual
Gender
Female
Address
134 Evergreen Pl Ste 101, East Orange, NJ 07018-2015
Phone Number
973-968-6700
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2019
Last Update Date
November 30, 2021
Certification Date
November 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 Evergreen Pl Ste 101
East Orange, NJ 07018-2015
Zip
07018-2015
Phone Number
973-968-6700
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
134 Evergreen Pl Ste 101
East Orange, NJ 07018-2015
City
East Orange
State
NJ
Zip
07018-2015

License Information

License Number
22DI02806300
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. Yeojin Park?

The NPI number of Dr. Yeojin Park is 1578026746. It was assigned on April 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Yeojin Park?

Dr. Yeojin Park is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02806300.

Where does Dr. Yeojin Park practice?

The practice location is 134 Evergreen Pl Ste 101, East Orange, NJ 07018-2015. The office can be reached at 973-968-6700 (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 1578026746 directly on the NPPES registry website.

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