Taeeen Park is a Dentist in Oakdale, California. Taeeen Park practices all healthcare services and medical treatments related to Dentist. The NPI Number for Taeeen Park is 1447275375. The last update date is 2015-07-16.
Taeeen Park's current location address is 190 S. Oak Ave Bldg 3 Ste 6, Oakdale, California. You can contact this provider via phone number 2098472800 and fax number 2098472929. The mailing address for Taeeen Park is 190 S. Oak Ave Bldg 3 Ste 6, Oakdale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Taeeen Park |
|---|---|
| Address | 190 S. Oak Ave Bldg 3 Ste 6, Oakdale, California |
| Phone Number | 2098472800 |
| Fax Number | 2098472929 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1447275375 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2015-07-16 |
Provider Mailing Address Detail
| Address | 190 S. Oak Ave Bldg 3 Ste 6 |
|---|---|
| City | Oakdale |
| State | California (CA) |
| Post Code | 953613528 |
| Phone Number | 2098472800 |
| Fax Number | 2098472929 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 56889 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Taeeen Park by the Centers for Medicare & Medicaid Services?
The Taeeen Park has been assigned the NPI (National Provider Identifier) 1447275375 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Taeeen Park?
The Taeeen Park is physically situated at 190 S. Oak Ave Bldg 3 Ste 6, in the city of Oakdale, state of CA, with the postal code 953613528.
What is Taeeen Park's area of expertise and its corresponding taxonomy classification?
The Taeeen Park's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Taeeen Park receive its 1447275375 assignment from the Centers for Medicare & Medicaid Services?
The Taeeen Park was assigned its 1447275375 by the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date was the information regarding Taeeen Park, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Taeeen Park, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-07-16.