National Provider Identifier Database

JOO PARK
General Practice

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.


Contact Information

JOO PARK
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH)
UNIT #15245; BLDG 3031
APO, AP96271-5245
Phone: 315-737-9013
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Dentist 122300000X

* Indicates primary specialty

NPI Profile & details for JOO PARK

NPI Number 1619440922
Credentials
Entity Individual
Enumeration date 01/09/2019
Last updated 05/23/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • VA License #: 0401416263
Hospital affiliation n/a

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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