Young Bae Park is a General Practice in Everett, Washington. Young Bae Park practices all healthcare services and medical treatments related to General Practice. The NPI Number for Young Bae Park is 1568597912. The last update date is 2013-06-18.
Young Bae Park's current location address is 11120 Evergreen Way, Everett, Washington. You can contact this provider via phone number 4252651188. The mailing address for Young Bae Park is 11120 Evergreen Way, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Young Bae Park |
|---|---|
| Address | 11120 Evergreen Way, Everett, Washington |
| Phone Number | 4252651188 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1568597912 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2013-06-18 |
Provider Mailing Address Detail
| Address | 11120 Evergreen Way |
|---|---|
| City | Everett |
| State | Washington (WA) |
| Post Code | 982043888 |
| Phone Number | 4252651188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE7465 |
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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 |
|---|---|---|---|
| 33-1093673 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Young Bae Park?
The Young Bae Park has been issued the NPI (National Provider Identifier) 1568597912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Young Bae Park is physically located?
The Young Bae Park is situated at the following address: 11120 Evergreen Way, Everett, WA 982043888.
What is Young Bae 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 Young Bae Park is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did Young Bae Park receive its 1568597912 assignment from the Centers for Medicare & Medicaid Services?
The Young Bae Park was assigned its 1568597912 on 2007-02-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Young Bae Park, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Young Bae Park, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-06-18.
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