Active NPIIndividual provider

Dr. Joon H Park, DDS

Dentist, Endodontics in Clifton, New Jersey

NPI Number1891052882
Practice location
1001 Clifton Ave, Clifton, NJ 07013-3586
Fax
—
Last updated
June 30, 2014

Joon Hyung Park is a Dentist, Endodontics based in Clifton, NJ. Joon Hyung Park practices in Clifton, NJ and has the professional credentials of DDS. The NPI Number for Joon Hyung Park is 1891052882 and holds a License No. 22DI02566800 (NJ). The current practice location address for Joon Hyung Park is 1001 Clifton Ave, Clifton, NJ 07013-3586 and can be reached out via phone at 973-773-6050.

Provider Profile Details

NPI Number
1891052882
Provider Name
Joon Hyung Park
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1001 Clifton Ave, Clifton, NJ 07013-3586
Phone Number
973-773-6050
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
No
Provider Enumeration Date
April 16, 2012
Last Update Date
June 30, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1001 Clifton Ave
Clifton, NJ 07013-3586
Zip
07013-3586
Phone Number
973-773-6050
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
2112 City Pl
Edgewater, NJ 07020-3136
City
Edgewater
State
NJ
Zip
07020-3136
Phone Number
443-465-4065

License Information

License Number
22DI02566800
License State
NJ
Taxonomy
Dentist, Endodontics · 1223E0200X · 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. Joon H Park, DDS?

The NPI number of Dr. Joon H Park, DDS is 1891052882. It was assigned on April 16, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Joon H Park, DDS?

Dr. Joon H Park, DDS is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in NJ under license number 22DI02566800.

Where does Dr. Joon H Park, DDS practice?

The practice location is 1001 Clifton Ave, Clifton, NJ 07013-3586. The office can be reached at 973-773-6050 (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 1891052882 directly on the NPPES registry website.

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