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Contact Information

EARL P PARK, DMD MD
2000 6TH AVE S
BIRMINGHAM, AL35233-2110
 Phone: 205-934-9999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for EARL P PARK · (Male)

NPI Number 1558659698
Status Active
Credentials DMD MD
Entity Individual
Enumeration date 07/11/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 35601
  • LA License # RESTRICTED
Hospital affiliation(s)
  • CHARITY HOSPITAL & MEDICAL CENTER OF LOUISIANA AT - (Acute Care)
    2021 PERDIDO ST
    NEW ORLEANS, LA 70112
  • TOURO INFIRMARY - (Acute Care)
    1401 FOUCHER STREET
    NEW ORLEANS, LA 70115
  • WEST JEFFERSON MEDICAL CENTER - (Acute Care)
    1101 MEDICAL CENTER BLVD
    MARRERO, LA 70072
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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