DR. ROBERT D PARK (NPI# 1063611747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063611747 |
| Entity Type | Individual |
| Full Name | DR. ROBERT D PARK |
| Credential | D.M.D. |
| Practice Address |
9727 Greenside Dr Cockeysville MD 21030-5030 |
| Practice Telephone | 4106676404 |
| Mailing Telephone | 4106676404 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401413036 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477639375 | Robert K Park | Dentist | 12374 Carmel Country Rd, #209, San Diego, CA 92130-4523 | 2006-10-31 |
| 1497701353 | Robert Park | Optometrist | 3385 Woodward Crossing Blvd, Suite 350, Buford, GA 30519-4947 | 2006-05-25 |
| 1083617633 | Robert Park | Obstetrics & Gynecology | 2177 Marylwood Ct, West Linn, OR 97068-1434 | 2005-05-27 |
| 1326525866 | Robert W Park | Counselor | 5757 Woodway Dr Ste 110, Houston, TX 77057-1506 | 2018-07-27 |
| 1871957597 | Robert Y. Park | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Suite 220, Philadelphia, PA 19107-4414 | 2016-04-08 |
| 1457680407 | Robert Eoin Park | Internal Medicine | 3400 Spruce St, 210 White, Philadelphia, PA 19104-4206 | 2009-12-21 |
| 1578749610 | Robert Park | Dentist | 4220 W 3rd St, Ste 202, Los Angeles, CA 90020-3450 | 2008-01-19 |
| 1255471579 | Robert E Park | Chiropractor | 174 W Parrish Ln, Centerville, UT 84014-1821 | 2007-02-07 |
| 1053472605 | Robert Phil Park | Psychologist | 1305 Tommydon St, Stockton, CA 95210-3364 | 2006-12-13 |
| 1942371851 | Robert J. Park | Internal Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| Street Address |
9727 GREENSIDE DR |
| City | COCKEYSVILLE |
| State | MD |
| Zip Code | 21030-5030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184631350 | Anastasia Vendelis | Dentist | 9727 Greenside Dr, Cockeysville, MD 21030-5030 | 2006-08-01 |
| 1598287492 | Hyeshin Park | Social Worker | 9727 Greenside Dr, Cockeysville, MD 21030-5030 | 2017-07-12 |
| 1124476460 | Andrew George Lericos | Dentist | 9727 Greenside Dr, #101, Cockeysville, MD 21030-5030 | 2016-05-26 |
| 1467572198 | Ronald J Scornavacca | Dentist | 9727 Greenside Dr, Cockeysville, MD 21030-5030 | 2007-03-29 |
| 1992838189 | Andrew H. Vendelis D.d.s., Pa | Dentist | 9727 Greenside Dr, Cockeysville, MD 21030-5030 | 2007-03-14 |
| 1669500849 | William Jennings Evans | Dentist | 9727 Greenside Dr, Suite 101, Cockeysville, MD 21030-5030 | 2007-03-01 |
| 1316954464 | Andrew H Vendelis | Dentist | 9727 Greenside Dr, 101, Cockeysville, MD 21030-5030 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450396 | Transcend Services Inc | Interpreter | 109-44 Beaver Dam Rd, Ste B, Hunt Valley, MD 21030 | 2019-10-30 |
| 1275015695 | Tiara Johnson | Behavior Technician | 201 International Circle, Hunt Valley, MD 21030 | 2018-09-01 |
| 1942795729 | Jackson's Nurse Practitioner Housecalls LLC | Family Medicine | 12 Kings Crossing Ct Apt L, Cockeysville, MD 21030 | 2018-06-25 |
| 1336653955 | A Nurse of Your Own & Co Recruitment Firm LLC | Hospice Care, Community Based | 6 Cedar Tree Ct Apt G, Cockeysville, MD 21030 | 2017-11-17 |
| 1871012278 | Jahnelle Danica Mclennan | Dentist | 5 Shawan Rd Ste 2, Hunt Valley, MD 21030 | 2017-09-17 |
| 1326423773 | Casey Ball | Case Management | 210 International Circle Suite 230, Hunt Valley, MD 21030 | 2015-07-28 |
| 1558705913 | Cortney J Johnstone | Occupational Therapist | 102 Lakefront Drive, Hunt Valley, MD 21030 | 2013-04-29 |
| 1104189257 | Hilary T Harrington | Counselor | 11311 Mccormick Road, 350, Hunt Valley, MD 21030 | 2012-06-22 |
| 1164715413 | Nichole Lea Edmond | Speech-Language Pathologist | 1508 Heather Hill Lane, Cockeysville, MD 21030 | 2011-05-19 |
| 1134440282 | Rabab Al-amin | Acupuncturist | 215 Wickersham Way, Cockeysville, MD 21030 | 2010-06-11 |
| Find all providers in zip 21030 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255449559 | Stuart P. Sheer | Dentist | 109 Old Padonia Rd, Cockeysville, MD 21030-4917 | 2006-08-27 |
| 1467572198 | Ronald J Scornavacca | Dentist | 9727 Greenside Dr, Cockeysville, MD 21030-5030 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234536 | Sheng Ge | Dentist | 305 W Fayette St Apt 1401, Baltimore, MD 21201-3467 | 2020-07-31 |
| 1619590668 | Gaithersburg Ortho LLC | Dentist | 814 W Diamond Ave Ste 300, Gaithersburg, MD 20878-1448 | 2020-05-26 |
| 1043859119 | Orthoroks, LLC | Dentist | 100 Shawan Rd Ste E, Hunt Valley, MD 21030-1459 | 2020-01-06 |
| 1609412592 | Nuclear Smiles LLC | Dentist | 10100 Twin Rivers Rd Apt 121, Columbia, MD 21044-2578 | 2019-11-26 |
| 1194361519 | Mary C. Trahar, Dds, Pa | Dentist | 52 Denton Plz, Denton, MD 21629-9501 | 2019-11-20 |
| 1376187336 | Chevy Chase Orthodontics | Dentist | 8401 Connecticut Ave Ste 620, Chevy Chase, MD 20815-5803 | 2019-11-03 |
| 1003465477 | Meghan Mcinnes Palmer | Dentist | 8322 Bellona Ave Ste 310, Towson, MD 21204-2077 | 2019-09-09 |
| 1245716232 | Tj Orthodontics | Dentist | 198 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4432 | 2018-07-13 |
| 1275028326 | John William Serino | Dentist | 538 Cynwood Dr Ste 1, Easton, MD 21601-3887 | 2018-06-29 |
| 1487146353 | Christopher Jason Scott | Dentist | 10045 Baltimore National Pike Ste A1, Ellicott City, MD 21042-3673 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | COCKEYSVILLE |
| Zip Code | 21030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.