Sang Hoon Park is a Periodontics in Baltimore, Maryland. Sang Hoon Park practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Sang Hoon Park is 1629242946. The last update date is 2008-04-17.
Sang Hoon Park's current location address is 650 W Baltimore St, Baltimore, Maryland. You can contact this provider via phone number 4438279248. The mailing address for Sang Hoon Park is 650 W Baltimore St, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sang Hoon Park |
|---|---|
| Address | 650 W Baltimore St, Baltimore, Maryland |
| Phone Number | 4438279248 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629242946 |
|---|---|
| Provider Enumeration Date | 2008-04-17 |
| Last Updated Date | 2008-04-17 |
Provider Mailing Address Detail
| Address | 650 W Baltimore St |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212011510 |
| Phone Number | 4438279248 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DEN1000707 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identifier code issued to Sang Hoon Park by the Centers for Medicare & Medicaid Services?
The Sang Hoon Park has been assigned the NPI (National Provider Identifier) 1629242946. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sang Hoon Park located?
The Sang Hoon Park is located at 650 W Baltimore St, Baltimore, MD 212011510.
What is Sang Hoon Park's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sang Hoon Park's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date was the 1629242946 assigned to Sang Hoon Park?
The Sang Hoon Park was issued its 1629242946 on 2008-04-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Sang Hoon Park most recently updated or refreshed?
The details pertaining to the Sang Hoon Park, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-17.