SUNG KEUN PARK (NPI# 1922493345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922493345 |
| Entity Type | Individual |
| Full Name | SUNG KEUN PARK |
| Credential | D.D.S. |
| Practice Address |
467 S Davy Crockett Pkwy Ste 1 Morristown TN 37813-1995 |
| Mailing Address |
124 Portobello Rd Arden NC 28704-8613 |
| Practice Telephone | 4237147684 |
| Mailing Telephone | 8285516767 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10017 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558927913 | Sung Uk Park | Acupuncturist | 22001 Jamaica Ave Fl 2, Queens Village, NY 11428-2140 | 2019-05-11 |
| 1073864831 | Sung Ho Park | Acupuncturist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2012-09-19 |
| 1538427786 | Sung Park | Dentist | 6804 43rd Ave Fl 1, Woodside, NY 11377-5153 | 2012-04-25 |
| 1144407230 | Sung Ah Park | Acupuncturist | 670 E Commonwealth Ave # A, Fullerton, CA 92831-4514 | 2008-01-30 |
| 1386256576 | Sung Park | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-19 |
| 1033670914 | Sung Woong Park | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-03-25 |
| 1962998070 | Sung Park | Pharmacist | 13410a Guy R Brewer Blvd, Jamaica, NY 11434-3728 | 2018-07-02 |
| 1154860104 | Sung H Park | Orthotic Fitter | 5602 Oakham Pl, Centreville, VA 20120-5214 | 2017-02-22 |
| 1720532344 | Sung Seong Park | Dentist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2016-08-11 |
| 1952690125 | Sung Mi Park | Acupuncturist | 4747 Hallowed Strm, Ellicott City, MD 21042-7902 | 2011-03-28 |
| Street Address |
467 S DAVY CROCKETT PKWY STE 1 |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37813-1995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
| 1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
| 1427311299 | Covenant Homecare | Durable Medical Equipment & Medical Supplies | 1611 West Morris Blvd, Morristown, TN 37813 | 2012-06-18 |
| 1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
| 1750512653 | Tiffany Colleen Hopkins | Speech-Language Pathologist | 958 Trade St Ste 102, Morristown, TN 37813 | 2009-07-27 |
| 1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
| 1154591055 | Kristal Lay Hurst | Nurse Practitioner | 1079 E Morris Blvd, Morristown, TN 37813 | 2008-03-06 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| Find all providers in zip 37813 | ||||
| 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 |
|---|---|---|---|---|
| 1467614479 | Rodrigo I Echeverri | Dentist | 35 Pine St, Morristown, NJ 07960-9431 | 2008-06-30 |
| 1134387681 | Gary Stump | Dentist | 307 Mccrary Dr, Morristown, TN 37814-3133 | 2008-05-30 |
| 1639372501 | Roland Merritt Brown Jr. | Dentist | 58 Lafayette Ave, Morristown, NJ 07960-4250 | 2007-06-07 |
| 1346453529 | Jane Giordano | Dentist | 73 Maple Ave, Morristown, NJ 07960-5220 | 2007-05-07 |
| 1821118464 | Judith S Roberts | Dentist | 25 Maple Ave, Morristown, NJ 07960-5216 | 2007-03-29 |
| 1871611343 | Joel Martin Bodner | Dentist | 10 Pine Street, Morristown, NJ 07960 | 2007-03-26 |
| 1750408753 | Howard Sidney Rock | Dentist | 31 Dehart St, Morristown, NJ 07960-5211 | 2007-03-23 |
| 1710019872 | James H Wohlwend | Dentist | 2729 West Andrew Johnson Hwy, Morristown, TN 37814 | 2007-03-12 |
| 1447382981 | Richard F Cassie | Dentist | 537 Spring Valley Rd, Morristown, NJ 07960-6467 | 2007-03-11 |
| 1043360654 | Robert Edward Weger | Dentist | 133 Park Ave, Morristown, NJ 07960-4779 | 2007-01-12 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 37813 |
Please comment or provide details below to improve the information on SUNG KEUN PARK.
| 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.