Active NPIIndividual provider

Dr. Jung Joo Park, DMD

Dentist in Englewood Cliffs, New Jersey

NPI Number1861829129
Practice location
460 Sylvan Ave Fl 1, Englewood Cliffs, NJ 07632-2943
Fax
—
Last updated
October 2, 2013

Jung Joo Park is a Dentist based in Englewood Cliffs, NJ. Jung Joo Park practices in Englewood Cliffs, NJ and has the professional credentials of DMD. The NPI Number for Jung Joo Park is 1861829129 and holds a License No. 22DI02549600 (NJ). The current practice location address for Jung Joo Park is 460 Sylvan Ave Fl 1, Englewood Cliffs, NJ 07632-2943 and can be reached out via phone at 201-608-7000.

Provider Profile Details

NPI Number
1861829129
Provider Name
Jung Joo Park
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
460 Sylvan Ave Fl 1, Englewood Cliffs, NJ 07632-2943
Phone Number
201-608-7000
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2013
Last Update Date
October 2, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 Sylvan Ave Fl 1
Englewood Cliffs, NJ 07632-2943
Zip
07632-2943
Phone Number
201-608-7000
Englewood Cliffs, NJ 07632Get directions →

Provider Business Mailing Address Details

Address
460 Sylvan Ave Fl 1
Englewood Cliffs, NJ 07632-2943
City
Englewood Cliffs
State
NJ
Zip
07632-2943
Phone Number
201-608-7000

License Information

License Number
22DI02549600
License State
NJ
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. Jung Joo Park, DMD?

The NPI number of Dr. Jung Joo Park, DMD is 1861829129. It was assigned on October 2, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Jung Joo Park, DMD?

Dr. Jung Joo Park, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02549600.

Where does Dr. Jung Joo Park, DMD practice?

The practice location is 460 Sylvan Ave Fl 1, Englewood Cliffs, NJ 07632-2943. The office can be reached at 201-608-7000 (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 1861829129 directly on the NPPES registry website.

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