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Dr. Cassie Park, DMD
Pediatric Dentist in Edison, New Jersey
NPI 1972178036

Cassie Park is a Pediatric Dentist based in Edison, NJ and is specialized in Pediatric Dentistry. Cassie Park practices in Edison, NJ and has the professional credentials of DMD. The NPI Number for Cassie Park is 1972178036 and holds a License No. (New Jersey).

The current practice location address for Cassie Park is 3900 Park Ave Ste 105, Edison, NJ and can be reached out via phone at 732-452-0100.

Location: 3900 Park Ave Ste 105, Edison, NJ, 08820-3063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972178036
Provider Name
Cassie Park
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3900 Park Ave Ste 105, Edison, NJ, 08820-3063
Phone Number
732-452-0100
Fax Number
Provider Enumeration Date
05/21/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3900 Park Ave Ste 105
City
Edison
State
New Jersey
Zip
08820-3063
Phone Number
732-452-0100
Fax Number
person
Provider Business Mailing Address Details
Address
3900 Park Ave Ste 105
City
Edison
State
New Jersey
Zip
08820-3063
Phone Number
732-452-0100
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22DI02843000 (New Jersey)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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