DR. JAI PARK DDS NPI 1235294299

NPI Information

NPI: 1235294299
Provider Name: DR. JAI PARK, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1707 W CHARLESTON BLVD STE 290
LAS VEGAS, NV
ZIP 89102
Phone: (702) 671-5139
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DR. Jai Park, DDS is a general practice dentist in Las Vegas, NV. The provider is 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. DR. Jai Park, DDS NPI is 1235294299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1707 W CHARLESTON BLVD STE 290
LAS VEGAS, NV
ZIP 89102-353
Phone: (702) 671-5139
Fax: (702) 671-0333

The enumeration date for this NPI number is 12/27/2006 and was last updated on 7/13/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	5562	NEVADA	Yes

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

NPI Synchronization or Removal

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