Dr. Shany C Park, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in New Rochelle, New York
1619067675- Practice location
- 77 Quaker Ridge RD, #202, New Rochelle, NY 10804-2808
- Phone
- 914-636-5958
- Fax
- —
- Last updated
- July 8, 2007
Shany C Park is a Dentist, Orthodontics and Dentofacial Orthopedics based in New Rochelle, NY. Shany C Park practices in New Rochelle, NY and has the professional credentials of DMD. The NPI Number for Shany C Park is 1619067675 and holds a License No. 048040-1 (NY). The current practice location address for Shany C Park is 77 Quaker Ridge RD, #202, New Rochelle, NY 10804-2808 and can be reached out via phone at 914-636-5958.
Provider Profile Details
- NPI Number
- 1619067675
- Provider Name
- Shany C Park
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 77 Quaker Ridge RD, #202, New Rochelle, NY 10804-2808
- Phone Number
- 914-636-5958
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 13, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 77 Quaker Ridge RD
#202
New Rochelle, NY 10804-2808 - City
- New Rochelle
- State
- New York
- Zip
- 10804-2808
- Phone Number
- 914-636-5958
Provider Business Mailing Address Details
- Address
- 77 Quaker Ridge RD
#202
New Rochelle, NY 10804-2808 - City
- New Rochelle
- State
- NY
- Zip
- 10804-2808
- Phone Number
- 914-636-5958
License Information
- License Number
- 048040-1
- License State
- NY
- Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Orthodontics and Dentofacial Orthopedics providers near New Rochelle, NY
View all Dentist, Orthodontics and Dentofacial Orthopedics providers in New Rochelle →- Dr. Jon M Dematteis Jr.Dentist, Orthodontics and Dentofacial Orthopedics · NPI 1750583514
- Dr. Stephen L Herzberg, DDSDentist, Orthodontics and Dentofacial Orthopedics · NPI 1528080413
- Dr. Yanique D Le-Cadre, DMD, MSDentist, Orthodontics and Dentofacial Orthopedics · NPI 1346309820
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Frequently Asked Questions
What is the NPI number of Dr. Shany C Park, DMD?
The NPI number of Dr. Shany C Park, DMD is 1619067675. It was assigned on October 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Shany C Park, DMD?
Dr. Shany C Park, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NY under license number 048040-1.
Where does Dr. Shany C Park, DMD practice?
The practice location is 77 Quaker Ridge RD, #202, New Rochelle, NY 10804-2808. The office can be reached at 914-636-5958 (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 1619067675 directly on the NPPES registry website.