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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

NPI # 1376650093
LBN Legal business name ANNA K PARK DMD LLC
Authorized official ANNA PARK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/25/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
NJ License # 22DI02127000
PA License # DS030602L
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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