SUN PARK DDS PC NPI 1699041897

NPI Information

NPI: 1699041897
Provider Name: SUN PARK DDS PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
102 ELDEN ST STE 17
HERNDON, VA
ZIP 20170
Phone: (703) 485-9098
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SUN PARK DDS PC is a dental clinic center in Herndon, VA. SUN PARK DDS PC NPI is 1699041897. The provider is registered as an organization entity type.

The provider's business location address is:

102 ELDEN ST STE 17
HERNDON, VA
ZIP 20170-827
Phone: (703) 485-9098
Fax: (703) 485-8098

The provider's authorized official is Sun Park .
The authorized official title is President and has the following contact phone number (571) 485-9098.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 4/2/2012.

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	261QD0000X	Clinic/Center	Dental	0401412056	VIRGINIA	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: 5/5/2024

NPI Synchronization or Removal

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