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Contact Information

ANNA K PARK DMD LLC
621 MULLICA HILL RD
RICHWOOD, NJ08074
 Phone: 856-218-1877
 Fax: 856-218-1865
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ANNA K PARK DMD LLC · (Female)

NPI Number 1376650093
Status Active
Credentials
Entity Individual
Enumeration date 08/25/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 22DI02127000
  • PA License # DS030602L
Hospital affiliation(s) Not Available
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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