Dr. Young Park Dental Group - Medford, PLLC
Dentist, General Practice in Medford, Massachusetts
1841628658- Practice location
- 678 Fellsway, Medford, MA 02155-4901
- Phone
- 781-391-8979
- Fax
- —
- Last updated
- October 28, 2013
Dr. Young Park Dental Group - Medford, PLLC is a healthcare organization based in Medford, MA. Dr. Young Park Dental Group - Medford, PLLC practices in Medford, MA. The NPI Number for Dr. Young Park Dental Group - Medford, PLLC is 1841628658 and holds a License No. 20999 (MA). The current practice location address for Dr. Young Park Dental Group - Medford, PLLC is 678 Fellsway, Medford, MA 02155-4901 and can be reached out via phone at 781-391-8979.
Provider Profile Details
- NPI Number
- 1841628658
- Provider Name
- Dr. Young Park Dental Group - Medford, PLLC
- Provider Entity Type
- Organization
- Address
- 678 Fellsway, Medford, MA 02155-4901
- Phone Number
- 781-391-8979
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Young Park, DMD · Owner · 315-454-6000
- Other Names
- Aspen Dental (Doing Business As)
- Provider Enumeration Date
- October 15, 2013
- Last Update Date
- October 28, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 678 Fellsway
Medford, MA 02155-4901 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4901
- Phone Number
- 781-391-8979
Provider Business Mailing Address Details
- Address
- Po Box 3189
Syracuse, NY 13220-3189 - City
- Syracuse
- State
- NY
- Zip
- 13220-3189
- Phone Number
- 315-454-6000
- Fax Number
- 866-803-4943
License Information
- License Number
- 20999
- License State
- MA
- 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 Medford, MA
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- Dr. Anthony Giamberardino, DMDDentist, General Practice · NPI 1316132574
- Dr. Isabelle B Jaillet, DMDDentist, General Practice · NPI 1659403632
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Frequently Asked Questions
What is the NPI number of Dr. Young Park Dental Group - Medford, PLLC?
The NPI number of Dr. Young Park Dental Group - Medford, PLLC is 1841628658. It was assigned on October 15, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Young Park Dental Group - Medford, PLLC?
Dr. Young Park Dental Group - Medford, PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20999.
Where does Dr. Young Park Dental Group - Medford, PLLC practice?
The practice location is 678 Fellsway, Medford, MA 02155-4901. The office can be reached at 781-391-8979 (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 1841628658 directly on the NPPES registry website.