HYUN W PARK (NPI# 1881773679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881773679 |
| Entity Type | Individual |
| Full Name | HYUN W PARK |
| Other Name | MIKE PARK |
| Credential | DDS |
| Practice Address |
256 N Hammond Dr Monroe GA 30655-2475 |
| Practice Telephone | 7702070008 |
| Practice Fax Number | 7702070033 |
| Mailing Telephone | 7702070008 |
| Mailing Fax Number | 7702070033 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN12810 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 858480563A | 05 | |
| GA | 858480563C | 05 | |
| GA | 858480563B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851515894 | Hyun Sun Park | Pediatrics | 1915 W Orangewood Ave Ste 200, Orange, CA 92868-2047 | 2007-04-12 |
| 1790851236 | Hyun K Park | Anesthesiology | 3961 Via Marisol Apt 307, Los Angeles, CA 90042-5086 | 2006-11-27 |
| 1881790269 | Hyun K Park | Dentist | 2603 Route 52, Suite E, Hopewell Junction, NY 12533-3215 | 2006-09-15 |
| 1689682189 | Hyun S. Park | Dentist | 1717 S 324th St, Suite A, Federal Way, WA 98003-8500 | 2006-08-03 |
| 1962447706 | Hyun Dong Park | Pediatrics | 3511 Farrington St, Flushing, NY 11354-2826 | 2006-06-17 |
| 1235778572 | Hyun Jeong Park | Counselor | 9035 Se Foster Rd, Portland, OR 97266-4617 | 2020-01-03 |
| 1881188258 | Hyun Hwa Park | Physical Therapist | 11010 David St, Gulfport, MS 39503 | 2018-06-19 |
| 1689188690 | Hyun Suk Park | Clinical Nurse Specialist | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2017-11-29 |
| 1427475086 | Hyun Jun Park | Internal Medicine | Walter Reed National Military Ctr, Bethesda, MD 20889-0001 | 2014-03-20 |
| 1568612992 | Hyun Joo Park | Physical Therapist | 301 Bridge Plz N, Fort Lee Physical Therapy, Fort Lee, NJ 07024-5059 | 2008-09-22 |
| Street Address |
256 N HAMMOND DR |
| City | MONROE |
| State | GA |
| Zip Code | 30655-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235403700 | Park Dental Group | Clinic/Center | 256 N Hammond Dr, Monroe, GA 30655-2475 | 2012-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| 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 |
|---|---|---|---|---|
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1487143616 | S. Gibree, D.m.d., P.C. | Dentist | 5120 Old Charlotte Hwy, Monroe, NC 28110-7342 | 2018-05-03 |
| 1689162372 | Amara Dental of Monroe, P.a. | Dentist | 211 Applegarth Road, Suite 109, Monroe, NJ 08831 | 2018-04-27 |
| 1942715917 | Monroe Dental Group LLC | Dentist | 1401 N 18th St Ste E, Monroe, LA 71201-4972 | 2017-12-12 |
| 1659884104 | Orange County Dental, P.C. | Dentist | 1 Prag Blvd Unit 111, Monroe, NY 10950-8448 | 2017-11-07 |
| 1487184677 | Daniel Conrid Sharbono | Dentist | 2406 Duval Dr, Monroe, LA 71201 | 2017-06-19 |
| 1730619917 | Leigh Ann Robinson | Dentist | 1507 Lamy Ln Ste A, Monroe, LA 71201-3778 | 2017-06-19 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1326300625 | Dung V Tran | Dentist | 1307 E Franklin St, Suite C, Monroe, NC 28112-5196 | 2012-06-12 |
| Find all providers in MONROE | ||||
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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.