DR. WON-WOO PARK (NPI# 1386846442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386846442 |
| Entity Type | Individual |
| Full Name | DR. WON-WOO PARK |
| Credential | D.M.D., M.S. |
| Practice Address |
6200 S Mcclintock Dr Suite #4 Tempe AZ 85283-3268 |
| Practice Telephone | 4807777759 |
| Practice Fax Number | 4807777120 |
| Mailing Telephone | 4807777759 |
| Mailing Fax Number | 4807777120 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DI020734 | NJ | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS030803L | PA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6542 | AZ | Dental Providers |
| Street Address |
6200 S MCCLINTOCK DR SUITE #4 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-3268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790833135 | Frederick T Wood | Dentist | 6200 S Mcclintock Dr, Suite 1, Tempe, AZ 85283-3268 | 2007-01-08 |
| 1083995633 | Ryan Sorbonne Holbrook | Dentist | 6200 S Mcclintock Dr, Tempe, AZ 85283-3268 | 2011-09-08 |
| 1275834434 | Zena Z Alshukri | Dentist | 6200 S Mcclintock Dr, Suite 114, Tempe, AZ 85283-3268 | 2010-11-04 |
| 1013162585 | Brian Duncan Enterprises, LLC | Home Health | 6200 S Mcclintock Dr, Suite 106, Tempe, AZ 85283-3268 | 2008-11-24 |
| 1023267051 | Patricia Ann Faust | Nurse Practitioner | 6200 S Mcclintock Dr, 104, Tempe, AZ 85283-3268 | 2008-09-15 |
| 1699975789 | Christopher James Drew | Dentist | 6200 S Mcclintock Dr, Suite 111, Tempe, AZ 85283-3268 | 2007-07-18 |
| 1548462641 | Ooli Orthodontics - Az, Tempe, P.C. | Dentist | 6200 S Mcclintock Dr, Suite #4, Tempe, AZ 85283-3268 | 2007-06-01 |
| 1821110677 | Michael G. Smith Dmd Pllc | Clinic/Center | 6200 S Mcclintock Dr, Ste #5, Tempe, AZ 85283-3268 | 2007-04-04 |
| 1225167703 | Affinity Gyn Inc. | Clinic/Center | 6200 S Mcclintock Dr, #104, Tempe, AZ 85283-3268 | 2007-03-02 |
| 1174650295 | Desert Canyon Family & Sports Medicine Pllc | Family Medicine | 6200 S Mcclintock Dr, Suite 9, Tempe, AZ 85283-3268 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255626651 | Valley Orthodontic Group LLC | Dentist | 522 W. First St, Unit 101, Tempe, AZ 85281 | 2011-06-14 |
| 1831414671 | Chad R Foster | Dentist | 2028 E Myrna Ln, Tempe, AZ 85284-3508 | 2010-04-05 |
| 1184892473 | Shane Kyle Blacker | Dentist | 6200 S Mcclintock Dr Ste 11, Tempe, AZ 85283-3268 | 2008-02-20 |
| 1689728719 | Louis David Curtis | Dentist | 1611 E Warner Rd Ste 1, Tempe, AZ 85284-4550 | 2007-01-23 |
| 1992322192 | Mdbb Management LLC | Dentist | 1842 E Baseline Rd, Tempe, AZ 85283-1514 | 2020-07-03 |
| 1235386244 | John Duane Jones | Dentist | 2626 S Rural Rd, Tempe, AZ 85282-2431 | 2008-08-20 |
| 1518163724 | Fazila H Durkin | Dentist | 6601 S Rural Rd, Tempe, AZ 85283-3747 | 2007-06-25 |
| 1548462641 | Ooli Orthodontics - Az, Tempe, P.C. | Dentist | 6200 S Mcclintock Dr, Suite #4, Tempe, AZ 85283-3268 | 2007-06-01 |
| 1548485170 | Lines Cs Plc | Dentist | 2415 S Rural Rd, Ste A, Tempe, AZ 85282-2440 | 2007-04-17 |
| 1326192469 | Alan Ashton Curtis | Dentist | 1611 E Warner Rd Ste 1, Tempe, AZ 85284-4550 | 2007-01-23 |
| Find all providers in TEMPE | ||||
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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.