Chung-Jae Park is a Dentist in Sherwood, Oregon. Chung-Jae Park practices all healthcare services and medical treatments related to Dentist. The NPI Number for Chung-Jae Park is 1942200050. The last update date is 2007-07-08.
Chung-Jae Park's current location address is 16015 Sw Tualatin Sherwood Rd, Sherwood, Oregon. You can contact this provider via phone number 5039251473 and fax number 5039251479. The mailing address for Chung-Jae Park is 16015 Sw Tualatin Sherwood Rd, Sherwood, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chung-Jae Park |
|---|---|
| Address | 16015 Sw Tualatin Sherwood Rd, Sherwood, Oregon |
| Phone Number | 5039251473 |
| Fax Number | 5039251479 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1942200050 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16015 Sw Tualatin Sherwood Rd |
|---|---|
| City | Sherwood |
| State | Oregon (OR) |
| Post Code | 971408424 |
| Phone Number | 5039251473 |
| Fax Number | 5039251479 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D8095 |
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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 identifier code issued to Chung-Jae Park by the Centers for Medicare & Medicaid Services (CMS)?
The Chung-Jae Park has been assigned the NPI (National Provider Identifier) 1942200050. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Chung-Jae Park's facilities are geographically located?
The facilities of Chung-Jae Park are physically situated at the following location: 16015 Sw Tualatin Sherwood Rd, Sherwood, OR, 971408424.
What is Chung-Jae Park's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Chung-Jae Park is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942200050 to Chung-Jae Park?
The Centers for Medicare & Medicaid Services originally issued the 1942200050 to Chung-Jae Park on 2005-07-29.
As of what date was the information regarding Chung-Jae Park, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Chung-Jae Park, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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