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).
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 |
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 |
Street Address |
490 S BROAD ST |
City | MERIDEN |
State | CT |
Zip Code | 06450 |
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 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 |
---|---|---|---|---|
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 |
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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.