Jae W Park is a Dentist in Christiansburg, Virginia. Jae W Park practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jae W Park is 1144232968. The last update date is 2015-06-01.
Jae W Park's current location address is 114 N Franklin St, Christiansburg, Virginia. You can contact this provider via phone number 5403826108. The mailing address for Jae W Park is 114 N Franklin St, Christiansburg, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jae W Park |
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Address | 114 N Franklin St, Christiansburg, Virginia |
Phone Number | 5403826108 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1144232968 |
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Provider Enumeration Date | 2006-08-12 |
Last Updated Date | 2015-06-01 |
Provider Mailing Address Detail
Address | 114 N Franklin St |
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City | Christiansburg |
State | Virginia (VA) |
Post Code | 240732953 |
Phone Number | 5403826108 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 401414774 |
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 |
Post Comment/ Review Below
What is the unique identifier code issued to Jae W Park by the Centers for Medicare & Medicaid Services (CMS)?
The Jae W Park has been assigned the NPI (National Provider Identifier) 1144232968. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jae W Park is physically located?
The Jae W Park is situated at the following address: 114 N Franklin St, Christiansburg, VA 240732953.
What is Jae W Park's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jae W Park's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date was the 1144232968 assigned to Jae W Park?
The Jae W Park was issued its 1144232968 on 2006-08-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jae W Park most recently updated?
The details pertaining to the Jae W Park, including its address, specialty, and other relevant information, were last refreshed on 2015-06-01.