Hae Duk Park is a General Practice in Manassas, Virginia. Hae Duk Park practices all healthcare services and medical treatments related to General Practice. The NPI Number for Hae Duk Park is 1174607832. The last update date is 2023-03-07.
Hae Duk Park's current location address is 8714 Sudley Rd, Manassas, Virginia. You can contact this provider via phone number 7033688166 and fax number 7033688624. The mailing address for Hae Duk Park is 8714 Sudley Rd, Manassas, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hae Duk Park |
|---|---|
| Address | 8714 Sudley Rd, Manassas, Virginia |
| Phone Number | 7033688166 |
| Fax Number | 7033688624 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1174607832 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 8714 Sudley Rd |
|---|---|
| City | Manassas |
| State | Virginia (VA) |
| Post Code | 201104405 |
| Phone Number | 7033688166 |
| Fax Number | 7033688624 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 401410598 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 401410598 | VA | VA DENTAL LIC# | |
| 1745319 | PA | UNITED CONCORDIA INS.ID | |
| 178830 | VA | ANTHEM BCBS ID # |
Post Comment/ Review Below
What is the unique identifier code issued to Hae Duk Park by the Centers for Medicare & Medicaid Services (CMS)?
The Hae Duk Park has been assigned the NPI (National Provider Identifier) 1174607832. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Hae Duk Park?
The Hae Duk Park is situated at 8714 Sudley Rd, in the city of Manassas, state of VA, with the zip code 201104405.
What is Hae Duk 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 Hae Duk Park is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the Hae Duk Park receive its 1174607832?
The Hae Duk Park was issued its 1174607832 on 2006-10-25, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Hae Duk Park, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Hae Duk Park, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA