DR. DONG S PARK (NPI# 1013963230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013963230 |
| Entity Type | Individual |
| Full Name | DR. DONG S PARK |
| Practice Address |
618th Dental Company Unit #15652, Credentials Office Apo Ap CA 96205 |
| Practice Telephone | 3157368803 |
| Practice Fax Number | 3157367703 |
| Mailing Telephone | 3157368803 |
| Mailing Fax Number | 3157367703 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE00007735 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699093385 | Dong H Park | Acupuncturist | 16307 Depot Rd Ste S-2, Flushing, NY 11358-2050 | 2010-05-05 |
| 1285626887 | Dong Hee Park | Specialist | 103 E Main St, Elkton, MD 21921-5906 | 2005-08-19 |
| 1124365432 | Dong Sun Park | Chiropractor | 296 N Main St, Spring Valley, NY 10977-3736 | 2013-01-07 |
| 1912297516 | Dong Soon Park | Chiropractor | 7003 Fort Hamilton Pkwy, Brooklyn, NY 11228-1103 | 2011-04-15 |
| 1346572377 | Dong Woo Park | Acupuncturist | 555 W Redondo Beach Blvd, Suite111, Gardena, CA 90248-1612 | 2010-02-01 |
| 1689706202 | Dong Won Park | Dentist | 130 S Alvarado St, Los Angeles, CA 90057-2238 | 2007-03-09 |
| 1699700021 | Dong Soo Park | Radiology | 485 W Market St, Tiffin, OH 44883 | 2006-07-12 |
| 1760419147 | Dong C Park | Anesthesiology | 409 Main St, Toms River, NJ 08753-7441 | 2006-06-28 |
| Street Address |
618TH DENTAL COMPANY UNIT #15652, CREDENTIALS OFFICE |
| City | APO AP |
| State | CA |
| Zip Code | 96205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450394 | Charles D Walker | Nurse Practitioner | 0121 Md Hsp Combat Support, Apo, AP 96205 | 2018-06-07 |
| 1952815235 | Robert Martinusek | Physical Therapist | Brian Allgood Army Community Hospital Unit 15543, Bldg 7005, Apo, AP 96205 | 2017-11-26 |
| 1659897056 | Laura Tsu | Dentist | 618 Mc Co Dental Com Wbpdaa, Yong San, AP 96205 | 2017-08-17 |
| 1962959502 | Amy Lee Wooten | Nurse Anesthetist, Certified Registered | Brian Allgood Army Hospital, Unit 15244, Camp Humphreys, KOREA 96205 | 2016-09-01 |
| 1912451105 | Laurel Alison Kessler | Dentist | 618 Md Co Dental Company, Apo, AP 96205 | 2016-08-05 |
| 1396116059 | Stephanie Louise Wheeler | Counselor | Hq, Usameddac-korea, Unit 15281, Apo, AP 96205 | 2015-10-07 |
| 1720454994 | Jared Colin Stewart | Dentist | 618th Dental Company, Usa Dentac Korea, Unit 15652, Apo, AP 96205 | 2015-08-11 |
| 1356717524 | John Carmen Warren | Dentist | 618th Dental Company, Usa Dentac - Korea, Unit # 15652, Apo, AP 96205 | 2015-08-11 |
| 1912381823 | Chanise Garvin-dumay | Registered Nurse | 121 Csh/baach. Pad, Yongsan, Apo, AP 96205 | 2015-07-10 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| Find all providers in zip 96205 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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| 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.