Active NPIIndividual provider

Dr. Yookyung Park, DDS

Dentist in Ridgewood, New Jersey

NPI Number1730471350
Practice location
699 Wellington RD, Ridgewood, NJ 07450-1225
Fax
—
Last updated
January 18, 2016

Yookyung Park is a Dentist based in Ridgewood, NJ. Yookyung Park practices in Ridgewood, NJ and has the professional credentials of DDS. The NPI Number for Yookyung Park is 1730471350 and holds a License No. 055586-1 (NY). The current practice location address for Yookyung Park is 699 Wellington RD, Ridgewood, NJ 07450-1225 and can be reached out via phone at 917-842-3292.

Provider Profile Details

NPI Number
1730471350
Provider Name
Yookyung Park
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
699 Wellington RD, Ridgewood, NJ 07450-1225
Phone Number
917-842-3292
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2011
Last Update Date
January 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
699 Wellington RD
Ridgewood, NJ 07450-1225
Zip
07450-1225
Phone Number
917-842-3292
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
315 W 57TH St Ste 206
New York, NY 10019-3149
City
New York
State
NY
Zip
10019-3149
Phone Number
917-842-3292

License Information

License Number
055586-1
License State
NY
Taxonomy
Dentist · 122300000X · 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. Yookyung Park, DDS?

The NPI number of Dr. Yookyung Park, DDS is 1730471350. It was assigned on May 15, 2011 and is currently active in the NPPES registry.

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

Dr. Yookyung Park, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 055586-1.

Where does Dr. Yookyung Park, DDS practice?

The practice location is 699 Wellington RD, Ridgewood, NJ 07450-1225. The office can be reached at 917-842-3292 (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 1730471350 directly on the NPPES registry website.

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