Dr. Mark Park, DMD, MD
Oral & Maxillofacial Surgery in Westwood, New Jersey
1912248683- Practice location
- 260 Old Hook RD Ste 202, Westwood, NJ 07675-3123
- Phone
- 347-948-8622
- Fax
- —
- Last updated
- October 11, 2019
Mark Park is an Oral & Maxillofacial Surgery based in Westwood, NJ. Mark Park practices in Westwood, NJ and has the professional credentials of DMD, MD. The NPI Number for Mark Park is 1912248683 and holds a License No. 300173 (NY). The current practice location address for Mark Park is 260 Old Hook RD Ste 202, Westwood, NJ 07675-3123 and can be reached out via phone at 347-948-8622.
Provider Profile Details
- NPI Number
- 1912248683
- Provider Name
- Mark Park
- Credential
- DMD, MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 260 Old Hook RD Ste 202, Westwood, NJ 07675-3123
- Phone Number
- 347-948-8622
- Primary Taxonomy
- Oral & Maxillofacial Surgery · 204E00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 6, 2013
- Last Update Date
- October 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 260 Old Hook RD Ste 202
Westwood, NJ 07675-3123 - City
- Westwood
- State
- New Jersey
- Zip
- 07675-3123
- Phone Number
- 347-948-8622
Provider Business Mailing Address Details
- Address
- 260 Old Hook RD Ste 202
Westwood, NJ 07675-3123 - City
- Westwood
- State
- NJ
- Zip
- 07675-3123
License Information
- License Number (1)
- 300173
- License State (1)
- NY
- Taxonomy (1)
- Oral & Maxillofacial Surgery · 204E00000X
- License Number (2)
- 060757
- License State (2)
- NY
- Taxonomy (2)
- Oral & Maxillofacial Surgery · 204E00000X
- License Number (3)
- 22DI02564200
- License State (3)
- NJ
- Taxonomy (3)
- Oral & Maxillofacial Surgery · 204E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Mark Park, DMD, MD?
The NPI number of Dr. Mark Park, DMD, MD is 1912248683. It was assigned on March 6, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark Park, DMD, MD?
Dr. Mark Park, DMD, MD is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in NY under license number 300173.
Where does Dr. Mark Park, DMD, MD practice?
The practice location is 260 Old Hook RD Ste 202, Westwood, NJ 07675-3123. The office can be reached at 347-948-8622 (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 1912248683 directly on the NPPES registry website.