Soo Kyeong Park, DENTIST(DMD)
Dentist, General Practice in Madison, New Jersey
1821721549- Practice location
- 120 Park Ave, Madison, NJ 07940-1559
- Phone
- 973-377-7088
- Fax
- 973-377-4722
- Last updated
- October 10, 2024
Soo Kyeong Park is a Dentist, General Practice based in Madison, NJ. Soo Kyeong Park practices in Madison, NJ and has the professional credentials of DENTIST(DMD). The NPI Number for Soo Kyeong Park is 1821721549 and holds a License No. 17486 (MD). The current practice location address for Soo Kyeong Park is 120 Park Ave, Madison, NJ 07940-1559 and can be reached out via phone at 973-377-7088 and via fax at 973-377-4722.
Provider Profile Details
- NPI Number
- 1821721549
- Provider Name
- Soo Kyeong Park
- Credential
- DENTIST(DMD)
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Park Ave, Madison, NJ 07940-1559
- Phone Number
- 973-377-7088
- Fax Number
- 973-377-4722
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 8, 2022
- Last Update Date
- October 10, 2024
- Certification Date
- October 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Park Ave
Madison, NJ 07940-1559 - City
- Madison
- State
- New Jersey
- Zip
- 07940-1559
- Phone Number
- 973-377-7088
- Fax Number
- 973-377-4722
Provider Business Mailing Address Details
- Address
- 311 E 38TH St Apt 3F
New York, NY 10016-2773 - City
- New York
- State
- NY
- Zip
- 10016-2773
- Phone Number
- 347-944-7533
License Information
- License Number
- 17486
- License State
- MD
- 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 Madison, NJ
View all Dentist, General Practice providers in Madison →- Dennis G Coyle, DMDDentist, General Practice · NPI 1285843573
- Dr. Allison M Adams, DMDDentist, General Practice · NPI 1316062714
- Dr. George P Kryzaniwsky, DDSDentist, General Practice · NPI 1033298419
- Dr. Jenny Lau, DMDDentist, General Practice · NPI 1992356653
- Dr. Mark Mccaffery, DMDDentist, General Practice · NPI 1679655658
- Dr. Nimish B Joshi, DMDDentist, General Practice · NPI 1467579292
Frequently Asked Questions
What is the NPI number of Soo Kyeong Park, DENTIST(DMD)?
The NPI number of Soo Kyeong Park, DENTIST(DMD) is 1821721549. It was assigned on July 8, 2022 and is currently active in the NPPES registry.
What is the specialty of Soo Kyeong Park, DENTIST(DMD)?
Soo Kyeong Park, DENTIST(DMD) is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MD under license number 17486.
Where does Soo Kyeong Park, DENTIST(DMD) practice?
The practice location is 120 Park Ave, Madison, NJ 07940-1559. The office can be reached at 973-377-7088 (phone) or 973-377-4722 (fax).
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 1821721549 directly on the NPPES registry website.