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DR. MARK PARK DMD MD NPI 1912248683


NPI Information

NPI: 1912248683
Provider Name: DR. MARK PARK, DMD, MD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
260 OLD HOOK RD STE 202
WESTWOOD, NJ
ZIP 07675
Phone: (347) 948-8622
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DR. Mark Park, DMD, MD is an oral maxillofacial surgery in Westwood, NJ. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Mark Park, DMD, MD NPI is 1912248683. 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:

260 OLD HOOK RD STE 202
WESTWOOD, NJ
ZIP 07675-123
Phone: (347) 948-8622

The enumeration date for this NPI number is 3/6/2013 and was last updated on 10/11/2019.


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
1204E00000XOral & Maxillofacial Surgery300173NEW YORKNo
2204E00000XOral & Maxillofacial Surgery060757NEW YORKNo
3204E00000XOral & Maxillofacial Surgery22DI02564200NEW JERSEYYes

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: 4/28/2024

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