Active NPIIndividual providerSole proprietor

Dr. James Park, DMD

Dentist, General Practice in Southbridge, Massachusetts

NPI Number1841553880
Practice location
44 Everett St, Southbridge, MA 01550
Fax
—
Last updated
June 7, 2018

James Park is a Dentist, General Practice based in Southbridge, MA. James Park practices in Southbridge, MA and has the professional credentials of DMD. The NPI Number for James Park is 1841553880 and holds a License No. DN1856630 (MA). The current practice location address for James Park is 44 Everett St, Southbridge, MA 01550 and can be reached out via phone at 508-764-4600.

Provider Profile Details

NPI Number
1841553880
Provider Name
James Park
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
44 Everett St, Southbridge, MA 01550
Phone Number
508-764-4600
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2012
Last Update Date
June 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Everett St
Southbridge, MA 01550
Zip
01550
Phone Number
508-764-4600
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
44 Everett St
Southbridge, MA 01550-2620
City
Southbridge
State
MA
Zip
01550-2620
Phone Number
508-764-4600
Fax Number
508-765-5862

License Information

License Number
DN1856630
License State
MA
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. James Park, DMD?

The NPI number of Dr. James Park, DMD is 1841553880. It was assigned on June 22, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. James Park, DMD?

Dr. James Park, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1856630.

Where does Dr. James Park, DMD practice?

The practice location is 44 Everett St, Southbridge, MA 01550. The office can be reached at 508-764-4600 (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 1841553880 directly on the NPPES registry website.

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