DONG JIN PARK


Address: 490 S Broad St, Meriden, CT 06450
Phone: 2032371000

DONG JIN PARK (NPI# 1174888622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174888622
Entity Type Individual
Full Name DONG JIN PARK
Practice Address 490 S Broad St
Meriden
CT 06450
Practice Telephone 2032371000
Mailing Telephone 2032371000
Enumeration Date 2012-07-11
Last Update Date 2013-09-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 010794 CT Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
010794 CT Dental Providers

Office Location

Street Address 490 S BROAD ST
City MERIDEN
State CT
Zip Code 06450

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861056525 Oak Counseling Services LLC Counselor Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 2019-04-29
1467969253 Midstate Arc Day Training, Developmentally Disabled Services 200 Research Pkwy, Meriden, CT 06450 2018-01-03
1144674672 Felistas Mazhandu Nurse Practitioner 53 Church Hill Chase, Meriden, CT 06450 2016-04-21
1639557390 D J Park PC Dentist 490-19 South Broad Street, Meriden, CT 06450 2015-05-14
1912393844 Elliott Lacki Psychologist 1355 N Broad St, Meriden, CT 06450 2015-04-07
1124379797 Jamie Anne Gargano Social Worker 538 Preston Avenue, Meriden, CT 06450 2012-09-24
1760738025 Psychologist Adriana L Gonzalez Phd Pllc Clinic/Center 85 Hillcrest Terrace, Meriden, CT 06450 2012-07-24
1710253182 Adriana Laura Gonzalez Psychologist 85 Hillcrest Ter, Meriden, CT 06450 2012-03-29
1285864199 Crystal Ann Herdman Occupational Therapist 33 Cone Avenue, Meriden, CT 06450 2009-07-27
1033376330 Premier Eyecare Exclusive Provider Organization 35 Pleasant Street 2c, Meriden, CT 06450 2008-05-22
Find all providers in zip 06450

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639557390 D J Park PC Dentist 490-19 South Broad Street, Meriden, CT 06450 2015-05-14
1023350568 Apple Dental and Associates,llc Dentist 566 W Main St, Unit D, Meriden, CT 06451-2791 2013-03-22
1275713216 Alokh Persha Dentist 490-19 South Broadway St, Aspen Dental, Meriden, CT 06450-0000 2007-11-07
1548482094 Sklad Enterprises Inc. Dentist 196 East Main St, Meriden, CT 06450 2007-05-03
1871615674 Mark S Burwick Dentist 12 Curtis Street, Suite 14, Meriden, CT 06450 2007-04-04
1275609851 Sheila Poetti Dentist 1064 E Main St Ste 102, Meriden, CT 06450-4898 2006-11-27
1376628859 David Keith Hergott Dentist 166 S Broad St, Meriden, CT 06450-6524 2006-10-25
1457431033 Miguel Rafael Vega Dentist 164 Scott St Ste 5, Meriden, CT 06450-7281 2006-10-17
1467557967 Loyd Allan Davis Dentist 196 E Main St, Meriden, CT 06450-5607 2006-09-13
1114946357 Dr. Kevin P. Langan, Dmd & Dr. Kevin S. Frank, Dmd, LLC Dentist 35 Pleasant St, Suite 2d, Meriden, CT 06450-5786 2006-07-19
Find all providers in MERIDEN

Competitor

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City MERIDEN
Zip Code 06450

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Dataset Information

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.

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