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PARK DENTAL ASSOCIATES P.C. NPI 1164709093


NPI Information

NPI: 1164709093
Provider Name: PARK DENTAL ASSOCIATES P.C.
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
1512 SANSOM ST
#300
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 564-0717
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PARK DENTAL ASSOCIATES P.C. is a prosthodontics dentist in Philadelphia, PA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. PARK DENTAL ASSOCIATES P.C. NPI is 1164709093. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1512 SANSOM ST
#300
PHILADELPHIA, PA
ZIP 19102-809
Phone: (215) 564-0717
Fax: (215) 564-5450

The provider's authorized official is Yeun-june Park .
The authorized official title is President/prosthodontist and has the following contact phone number (215) 564-0717.

The enumeration date for this NPI number is 11/6/2011 and was last updated on 11/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodonticsDS035815PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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