DR. SANGHYUN PARK (NPI# 1063026235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063026235 |
| Entity Type | Individual |
| Full Name | DR. SANGHYUN PARK |
| Other Name | DR. SCOTT PARK |
| Credential | DMD |
| Practice Address |
1103 Stewart Ave Ste 104 Garden City NY 11530-4886 |
| Practice Telephone | 5162221822 |
| Mailing Telephone | 5162221822 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
061292 | NY | Dental Providers |
| Street Address |
1103 STEWART AVE STE 104 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-4886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790067874 | Marcus D Johnson | Dentist | 1103 Stewart Ave Fl 1, Garden City, NY 11530-4859 | 2011-09-14 |
| 1053523449 | Doreen Faye Toskos | Dentist | 520 Franklin Ave Ste 112, Garden City, NY 11530-5814 | 2007-05-05 |
| 1366762700 | Matthew Alexander Tangredi | Dentist | 520 Franklin Ave, Suite 112, Garden City, NY 11530-5806 | 2010-06-08 |
| 1134390917 | Garden City Endodontics, Pllc | Dentist | 601 Franklin Ave, Suite 210, Garden City, NY 11530-5795 | 2008-03-19 |
| 1275731465 | Kathleen Mary Englehardt | Dentist | 877 Stewart Ave, Garden City, NY 11530-4803 | 2007-07-10 |
| 1316158959 | Rahul Gupta | Dentist | 1103 Stewart Ave, Garden City, NY 11530-4886 | 2007-05-25 |
| 1790995082 | Jamal Ramon Flowers | Dentist | 1103 Stewart Ave, Garden City, NY 11530-4886 | 2007-05-23 |
| 1215146782 | Ashish Sahasrabudhe | Dentist | 1103 Stewart Ave, First Floor, Garden City, NY 11530-4886 | 2007-05-22 |
| 1427264340 | Anthony Salierno | Dentist | 520 Franklin Ave, Suite 112, Garden City, NY 11530-5801 | 2007-05-15 |
| 1003989666 | Raymond F. Mehlman | Dentist | 520 Franklin Ave, Suite 221, Garden City, NY 11530-5801 | 2006-11-15 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
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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.