KYUNG MOOK PARK (NPI# 1013283613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013283613 |
| Entity Type | Individual |
| Full Name | KYUNG MOOK PARK |
| Credential | DDS |
| Practice Address |
1034 N Willis St Abilene TX 79603-4622 |
| Practice Telephone | 3256738164 |
| Practice Fax Number | 3256730812 |
| Mailing Telephone | 3256738164 |
| Mailing Fax Number | 3256730812 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
27715 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215321070 | Kyung Hyun Park | Pharmacist | Loma Linda University School of Pharmacy, Shryock Hall, Loma Linda, CA 92350-0001 | 2015-03-19 |
| 1871704916 | Kyung Sook Park | Acupuncturist | 4706 Nathan Hale Dr Apt 304, Annandale, VA 22003-4985 | 2007-05-24 |
| 1669518676 | Kyung Wook Park | Dentist | 44031 Pipeline Plz, Suite 215, Ashburn, VA 20147-5887 | 2007-01-29 |
| 1649287152 | Kyung Sook Park | Specialist | 3484 Stevens Creek Blvd, Suite D, San Jose, CA 95117-1000 | 2006-08-01 |
| 1568454049 | Kyung Soon Park | Specialist | 575 Coal Valley Road, Suite 504, Clairton, PA 15025-3729 | 2005-08-19 |
| 1255996864 | Kyung Joong Park | Naturopath | 530 S 336th St, Federal Way, WA 98003-6383 | 2019-05-08 |
| 1194083154 | Kyung Park | Pathology | 272 Main St, 2f, Stamford, CT 06901 | 2012-04-27 |
| 1770688269 | Kyung Won Park | Anesthesiology | 1320 West Main Street, Newark, OH 43055 | 2006-09-13 |
| 1942210570 | Kyung I. Park | Psychiatry & Neurology | 12362 Beach Blvd, #10, Stanton, CA 90680-3935 | 2006-08-08 |
| 1114951522 | Kyung Sun Park | Obstetrics & Gynecology | 100 Stevens Ave, 7th Floor, Mount Vernon, NY 10550-2600 | 2006-07-10 |
| Street Address |
1034 N WILLIS ST |
| City | ABILENE |
| State | TX |
| Zip Code | 79603-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962419697 | Mark Richmond Bullock | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2006-08-02 |
| 1689167116 | Totrinh Tran | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2018-06-09 |
| 1871971317 | Abbeville Dentistry - Abilene Pllc | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2015-05-18 |
| 1215266093 | Abilene Smilecrafters, Pllc | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2009-12-08 |
| 1568507887 | Jeanne Hansen Bayless | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992248249 | Chirise Gray | Nurse Practitioner | 2110 N Willis St, Suite B, Abilene, TX 79603 | 2016-11-18 |
| 1598155855 | Cindy Hess | Nurse Practitioner | 2110 North Willis, Pregnancy Resources of Abilene, Abilene, TX 79603 | 2015-01-26 |
| 1558605147 | Farisa F Ali | Pharmacist | 991 North Willis Street, Abilene, TX 79603 | 2012-11-20 |
| 1871709543 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2234 A Amy Lyn Avenue, Abilene, TX 79603 | 2007-05-16 |
| 1114133873 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2234 B Amy Lyn Avenue, Abilene, TX 79603 | 2007-05-16 |
| 1740306083 | Eleanor E Bennett | Technician | 1460 Mimosa Drive, Abilene, TX 79603 | 2007-03-21 |
| 1104935857 | Greg Walter Waldrip | Chiropractor | 3301 N 3rd #134, Abileue, TX 79603 | 2006-08-29 |
| 1093727059 | Mark Nelson Tate | Dentist | 1025 Glenhaven, Abilene, TX 79603 | 2006-08-11 |
| 1912944299 | Express Medical Supply, Ltd. | Durable Medical Equipment & Medical Supplies | 3122 N 1st St, Abilene, TX 79603 | 2006-06-02 |
| 1326015959 | Megan Lee Kendall | Dietitian, Registered | 765 Orange, Abilene, TX 79603 | 2006-03-02 |
| Find all providers in zip 79603 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528629664 | Johnathon Bogard | Dentist | 4601 Buffalo Gap Rd Ste D1, Abilene, TX 79606-3364 | 2019-06-27 |
| 1548821358 | Andrew Will Tate | Dentist | 2501 Barrow St, Abilene, TX 79605-6236 | 2019-06-23 |
| 1699260497 | Abilene Dental Care South Pllc | Dentist | 4102 Buffalo Gap Rd Ste F, Abilene, TX 79605-7243 | 2018-06-25 |
| 1639459076 | Susan Payne Dds | Dentist | 2381 S 32nd Street, Abilene, TX 79605-7029 | 2011-08-17 |
| 1184902868 | Traci Jean King | Dentist | 2381 South 32nd St, Abilene, TX 79605 | 2011-07-28 |
| 1659691426 | Familia Dental Abilene Pllc | Dentist | 1365 Barrow St, Abilene, TX 79605-5171 | 2010-06-03 |
| 1508092909 | Gene Martin Shelhamer | Dentist | 294 Medical Drive, Abilene, TX 79601 | 2009-06-01 |
| 1093952392 | Finley & Runyan, LLP | Dentist | 4321 Southwest Dr, Abilene, TX 79606-8205 | 2009-01-08 |
| 1750543641 | Melanie J Larson | Dentist | 2601 Barrow St, Abilene, TX 79605-6238 | 2008-07-01 |
| 1629239389 | Michael Jason Alexander | Dentist | #5 Windmill Circle, Abilene, TX 79606 | 2008-06-24 |
| Find all providers in ABILENE | ||||
Please comment or provide details below to improve the information on KYUNG MOOK PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.