DR. JOON PARK (NPI# 1295251106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295251106 |
| Entity Type | Individual |
| Full Name | DR. JOON PARK |
| Credential | DDS |
| Practice Address |
687 E Linton Ave Springfield IL 62703-5902 |
| Mailing Address |
2205 S Koke Mill Rd B Springfield IL 62711 |
| Practice Telephone | 2175221111 |
| Mailing Telephone | 2243308515 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.031353 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953127 | Joon Park | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-07-09 |
| 1952861213 | Joon Park | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2019-03-22 |
| 1982022737 | Joon Suk Park | Internal Medicine | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2014-03-30 |
| 1891052882 | Joon Hyung Park | Dentist | 1001 Clifton Ave, Clifton, NJ 07013-3586 | 2012-04-16 |
| 1700031952 | Joon H Park | General Practice | 430 W Centre Ave, Portage, MI 49024 | 2008-12-01 |
| 1205095924 | Joon Park | Family Medicine | 4904 19th Ave, Astoria, NY 11105-1002 | 2008-06-06 |
| 1972798452 | Joon Y Park | Physical Therapist | 3545 Wilshire Blvd Ste 250, Los Angeles, CA 90010-2389 | 2007-09-07 |
| 1699894709 | Joon Sung Park | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2007-03-28 |
| 1447314331 | Joon Hong Park | Allergy & Immunology | 75 Crystal Run Rd, Suite 220, Middletown, NY 10941-7000 | 2006-12-22 |
| 1881626224 | Joon Il Park | Internal Medicine | 8830 Long Point, Suite 402, Houston, TX 77055 | 2006-07-07 |
| Street Address |
687 E LINTON AVE |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720470339 | Secure Dental IIi LLC | Dentist | 687 E Linton Ave, Springfield, IL 62703-5902 | 2015-02-19 |
| 1104378322 | Kayoun Lee | Dentist | 687 E Linton Ave, Springfield, IL 62703-5902 | 2016-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
| 1336754456 | Springfield Dental Partners LLC | Dentist | 498 Harlow Rd Ste 2, Springfield, OR 97477-1339 | 2020-09-15 |
| 1699392308 | Mahmood Mahmood | Dentist | 6811 Meteor Pl Apt 204, Springfield, VA 22150-4518 | 2020-06-29 |
| 1124514807 | Myranda Nycole Wolff | Dentist | 2740 Prairie Crossing Dr, Springfield, IL 62711-7156 | 2018-07-06 |
| 1861987547 | Hovhannes Pahlevanyan | Dentist | 1795 Main St Ste 212, Springfield, MA 01103-1015 | 2018-06-26 |
| 1205329737 | Camille Renee Tague | Dentist | 2305 S Blackman Rd Ste 100, Springfield, MO 65809-2845 | 2018-06-09 |
| 1134611932 | George William Vincel | Dentist | 3259 E Sunshine St Ste Q, Springfield, MO 65804-2143 | 2018-06-06 |
| 1235636531 | Duff Family Dental, LLC | Dentist | 1722 S Glenstone Ave Ste O, Springfield, MO 65804-1513 | 2018-04-12 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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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.