Dong S Park is a Periodontics in Chantilly, Virginia. Dong S Park practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Dong S Park is 1013963230. The last update date is 2023-03-20.
Dong S Park's current location address is 14100 Park Meadow Dr Ste 110, Chantilly, Virginia. You can contact this provider via phone number 7034665115 and fax number 7034665502. The mailing address for Dong S Park is 14100 Park Meadow Dr Ste 110, Chantilly, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dong S Park |
|---|---|
| Address | 14100 Park Meadow Dr Ste 110, Chantilly, Virginia |
| Phone Number | 7034665115 |
| Fax Number | 7034665502 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1013963230 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2023-03-20 |
Provider Mailing Address Detail
| Address | 14100 Park Meadow Dr Ste 110 |
|---|---|
| City | Chantilly |
| State | Virginia (VA) |
| Post Code | 201512292 |
| Phone Number | 7034665115 |
| Fax Number | 7034665502 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 401414636 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Dong S Park by the Centers for Medicare & Medicaid Services?
The Dong S Park has been assigned the NPI (National Provider Identifier) 1013963230. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dong S Park?
The Dong S Park is situated at 14100 Park Meadow Dr Ste 110, in the city of Chantilly, state of VA, with the zip code 201512292.
What is Dong S Park's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dong S Park is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013963230 to Dong S Park?
The Centers for Medicare & Medicaid Services originally issued the 1013963230 to Dong S Park on 2006-05-26.
When was the information regarding Dong S Park most recently updated?
The details pertaining to the Dong S Park, including its address, specialty, and other relevant information, were last refreshed on 2023-03-20.