Dr. Yoojun Park, DDS
Dentist, Periodontics in Englewood, New Jersey
1972910107- Practice location
- 401A South Van Brunt St Ste 205, Englewood, NJ 07631-4979
- Phone
- 201-408-2808
- Fax
- 201-227-0603
- Last updated
- March 13, 2020
Yoojun Park is a Dentist, Periodontics based in Englewood, NJ. Yoojun Park practices in Englewood, NJ and has the professional credentials of DDS. The NPI Number for Yoojun Park is 1972910107 and holds a License No. 22DI02573600 (NJ). The current practice location address for Yoojun Park is 401A South Van Brunt St Ste 205, Englewood, NJ 07631-4979 and can be reached out via phone at 201-408-2808 and via fax at 201-227-0603.
Provider Profile Details
- NPI Number
- 1972910107
- Provider Name
- Yoojun Park
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 401A South Van Brunt St Ste 205, Englewood, NJ 07631-4979
- Phone Number
- 201-408-2808
- Fax Number
- 201-227-0603
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 21, 2014
- Last Update Date
- March 13, 2020
- Certification Date
- March 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 401A South Van Brunt St Ste 205
Englewood, NJ 07631-4979 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-4979
- Phone Number
- 201-408-2808
- Fax Number
- 201-227-0603
Provider Business Mailing Address Details
- Address
- 401A South Van Brunt St Ste 205
Englewood, NJ 07631-4979 - City
- Englewood
- State
- NJ
- Zip
- 07631-4979
- Phone Number
- 201-408-2808
- Fax Number
- 201-227-0603
License Information
- License Number (1)
- 22DI02573600
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, Periodontics · 1223P0300X · Primary
- License Number (2)
- 057340
- License State (2)
- NY
- Taxonomy (2)
- Dentist, Periodontics · 1223P0300X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Englewood, NJ
View all Dentist, Periodontics providers in Englewood →- Dr. David Kallus, DMDDentist, Periodontics · NPI 1942385216
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- Mimerose P LangNurse Practitioner, Psych/Mental Health · NPI 1437880648
- Inkyung ChoPharmacist · NPI 1356241459
- Brian Y Gu, MDPediatrics · NPI 1295354124
Frequently Asked Questions
What is the NPI number of Dr. Yoojun Park, DDS?
The NPI number of Dr. Yoojun Park, DDS is 1972910107. It was assigned on July 21, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Yoojun Park, DDS?
Dr. Yoojun Park, DDS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number 22DI02573600.
Where does Dr. Yoojun Park, DDS practice?
The practice location is 401A South Van Brunt St Ste 205, Englewood, NJ 07631-4979. The office can be reached at 201-408-2808 (phone) or 201-227-0603 (fax).
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 1972910107 directly on the NPPES registry website.