JUNG H PARK DDS LLC (NPI# 1639734627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639734627 |
| Entity Type | Organization |
| Organization Name | JUNG H PARK DDS LLC |
| Practice Address |
7900 Andrus Rd Ste 1 Alexandria VA 22306-3167 |
| Practice Telephone | 7036798959 |
| Mailing Telephone | 7036798959 |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2019-05-05 |
| Authorized Official Name | DR. JUNG HOON PARK (MEMBER) |
| Authorized Official Telephone | 7036798959 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | JUNG H PARK DDS LLC | 7900 Andrus Road #1, Alexandria, Virginia 22306 |
| Street Address |
7900 ANDRUS RD STE 1 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22306-3167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450412 | Felicia Aboagye | Registered Nurse | Gartlan Center, 8119 Holland Road, Alexandria, VA 22306 | 2019-10-30 |
| 1306490727 | Quality Care Services LLC | Home Health | 6969 Richmond Highway, Suite 203, Alexandria, VA 22306 | 2019-07-25 |
| 1902388325 | James Mompoint | Behavioral Analyst | 3400 State St Suite G750, Salem, OR 22306 | 2018-09-01 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1164881397 | Luke Maxwell Dillon | Family Medicine | Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 | 2016-02-16 |
| 1063892743 | Bridgitte Matthews | Physical Therapist | 6856 Richmond Hwy, Alexandria, VA 22306 | 2015-06-08 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| Find all providers in zip 22306 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284679 | Dr Gina Askander PC | Clinic/Center | 4660 Kenmore Ave Ste 318, Alexandria, VA 22304-1306 | 2020-10-29 |
| 1912525908 | Carabella Dental | Clinic/Center | 420 South Pickett Street, Alexandria, VA 22304-2230 | 2020-07-07 |
| 1376182196 | Alexandria Dentistry Pllc | Clinic/Center | 6000 Stevenson Ave Ste 103, Alexandria, VA 22304-3526 | 2019-12-26 |
| 1306493838 | Lawrence D. Singer | Clinic/Center | 809 Cameron St, Alexandria, VA 22314-2409 | 2019-08-20 |
| 1912404559 | Smile Experts | Clinic/Center | 4810 Beauregard St Ste 200, Alexandria, VA 22312-1709 | 2018-04-10 |
| 1194227090 | Alexandra Dental LLC | Clinic/Center | 654 Valley Cub Dr, Alexandria, AL 36250-4200 | 2018-03-06 |
| 1871023507 | Brightwhites, P.C. | Clinic/Center | 6214 Old Franconia Rd Ste A, Alexandria, VA 22310-3400 | 2017-06-15 |
| 1669843082 | Alexandria Kids Dentistry, PC | Clinic/Center | 625 E Monroe Ave, Alexandria, VA 22301-3019 | 2015-10-12 |
| 1104205905 | Jonathan Ryan Rogenmoser Dds LLC | Clinic/Center | 160 Windermere Boulevard, Alexandria, LA 71303 | 2015-05-26 |
| 1548663347 | Eric Mestas Dds PC | Clinic/Center | 5115 Franconia Rd Ste -d, Alexandria, VA 22310 | 2014-10-07 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22306 |
Please comment or provide details below to improve the information on JUNG H PARK DDS LLC.
| 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.