DR. YONG SUEL PARK (NPI# 1972027225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972027225 |
| Entity Type | Individual |
| Full Name | DR. YONG SUEL PARK |
| Credential | DDS |
| Practice Address |
292 Route 94 Vernon NJ 07462-3181 |
| Mailing Address |
Po Box 195 Vernon NJ 07462-0195 |
| Practice Telephone | 9738272255 |
| Mailing Telephone | 7164493067 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11859 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1699047407 | Yong Hoon Park | Acupuncturist | 1911 Commercenter East, Suite 107, San Bernardino, CA 92408 | 2012-02-09 |
| 1316238470 | Yong Hwa Park | General Practice | 25676 Island Lake Dr, Novi, MI 48374-2175 | 2011-04-25 |
| 1154560696 | Yong Woon Park | Chiropractor | 5049 Birchwood Ave, Skokie, IL 60077-3349 | 2009-02-06 |
| 1205984317 | Yong J Park | Optometrist | 2609 Foothill Blvd, La Crescenta, CA 91214-3511 | 2007-01-08 |
| 1205913761 | Yong Park | Emergency Medicine | 506 4th St Nw, Jasper, FL 32052-6603 | 2006-11-01 |
| 1497869499 | Yong Ho Park | Surgery | 501 West Riverside Avenue, Superior, MT 59872-0847 | 2006-08-18 |
| 1811374325 | Yong Park | Pharmacist | 520 W Washington St, Sequim, WA 98382-3279 | 2015-05-05 |
| 1922388404 | Yong J Park | Pharmacist | 4801 N Lincoln Ave, Chicago, IL 60625-1915 | 2011-08-28 |
| 1902015415 | Yong S Park | Dentist | 515 West 6th Street, Jacksonville, FL 32206 | 2007-05-21 |
| Street Address |
292 ROUTE 94 |
| City | VERNON |
| State | NJ |
| Zip Code | 07462-3181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699786 | Deividas Jeskevicius | Occupational Therapist | 212 Nj-94 Unit 2g & 2h, Vernon, NJ 07462 | 2019-09-26 |
| 1053788224 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 530 County Route 515, Unit 1, Vernon, NJ 07462 | 2015-08-24 |
| 1851788350 | Alpha & Omega Dental of Nj, LLP | Dentist | 6 Church St., Vernon, NJ 07462 | 2015-04-22 |
| 1871924050 | Eugene Santos | Specialist/Technologist | 42 Birch Drive, Vernon, NJ 07462 | 2013-12-12 |
| 1336498765 | Asha Reddy Thadisina | Pharmacist | 525 County Road 515, Vernon, NJ 07462 | 2012-08-30 |
| 1013236512 | Valerie Lee Thayer | Pharmacist | 525 State Route 515, Vernon, NJ 07462 | 2010-05-24 |
| 1003048844 | Joshua Seungju Chung | Dentist | 6 Church Street, Vernon, NJ 07462 | 2009-08-12 |
| 1861676454 | Lois Ann Reinhardt | Counselor | 529 Route 515 /guthrie Corner, Suite 202, Vernon, NJ 07462 | 2007-12-19 |
| 1598971442 | Laura Ann Covucci | Dentist | 248 Route 94 North, Vernon, NJ 07462 | 2007-05-15 |
| 1326163288 | Donald John Mattucci Jr. | Dentist | 249 Route 94, Vernon, NJ 07462 | 2007-03-20 |
| Find all providers in zip 07462 | ||||
| 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 |
|---|---|---|---|---|
| 1225489859 | Mayank Chaliawala | Dentist | 35 Talcottville Rd Ste 21, Vernon, CT 06066-5261 | 2016-06-24 |
| 1851788350 | Alpha & Omega Dental of Nj, LLP | Dentist | 6 Church St., Vernon, NJ 07462 | 2015-04-22 |
| 1477970598 | Vernon Smiles, PC | Dentist | 4409 Hillcrest Dr., Vernon, TX 76384 | 2014-03-26 |
| 1356601678 | American Dental Associates Pllc | Dentist | 220 Hartford Turnpike, Vernon, CT 06066 | 2012-05-21 |
| 1770711707 | Ashkan Fahandej Saadi | Dentist | 125 South St Apt 300, Vernon, CT 06066-4441 | 2009-06-29 |
| 1710198734 | Harold A. Kadish | Dentist | 44 Hyde Ave, Vernon, CT 06066-4503 | 2007-05-24 |
| 1194942268 | Lee B. Harrison, D.d.s., P.C. | Dentist | 1620 Hillcrest Dr, Vernon, TX 76384-4053 | 2007-04-19 |
| 1326163288 | Donald John Mattucci Jr. | Dentist | 249 Route 94, Vernon, NJ 07462 | 2007-03-20 |
| 1194857110 | James Joel Lowry | Dentist | 2122 Texas St, Vernon, TX 76384-4452 | 2007-03-12 |
| 1609907583 | David R Langer | Dentist | 290 State Highway Route 94, Vernon, NJ 07462 | 2007-03-09 |
| Find all providers in VERNON | ||||
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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.