ERIC S. PARK, DDS, PC (NPI# 1134348667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134348667 |
| Entity Type | Organization |
| Organization Name | ERIC S. PARK, DDS, PC |
| Practice Address |
1126 Bell St Gardnerville NV 89410-5246 |
| Practice Telephone | 7757822251 |
| Practice Fax Number | 7757824501 |
| Mailing Telephone | 7757822251 |
| Mailing Fax Number | 7757824501 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ERIC SONG JOON PARK (PRESIDENT) |
| Authorized Official Telephone | 7757822251 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4852 | NV | Dental Providers |
| Street Address |
1126 BELL ST |
| City | GARDNERVILLE |
| State | NV |
| Zip Code | 89410-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679669329 | Walter H. Niemeyer | Dentist | 1126 Bell St, Gardnerville, NV 89410-5246 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931127 | Hayes Robert Wilson | Physician Assistant | 1107 Highway 395 North, Gardnerville, NV 89410 | 2019-09-17 |
| 1609361088 | Douglas County and Unincorporated Towns | Substance Abuse Rehabilitation Facility | China Spring Youth Camp Adapt, 225 China Spring Road, Gardnerville, NV 89410 | 2018-06-27 |
| 1306338215 | Douglas Co and Unincorporated Towns | Psychiatric Residential Treatment Facility | 225 China Spring Rd, Gardnerville, NV 89410 | 2018-06-06 |
| 1245787308 | Debra M Robison | Pharmacist | 1363 Hwy 395 North, Raley's #109 Pharmacy, Gardnerville, NV 89410 | 2016-09-07 |
| 1346573268 | Cynthia Suzanne Tarantino-fernandez | Social Worker | 1296 Bray Way, Gardnerville, NV 89410 | 2009-09-10 |
| 1750531398 | Paul Williams Phillips Jr. | Orthopaedic Surgery | 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410 | 2008-09-19 |
| 1033316054 | Barbara Ellen Gould | Physical Therapist | 1107 Highway 395 South, Gardnerville, NV 89410 | 2007-07-02 |
| 1992916019 | Diane G. Oliver, Md | Pathology | 1107 Highway 395 S, Department of Pathology, Gardnerville, NV 89410 | 2007-05-24 |
| 1346460656 | Ricky Shigeru Miyashiro | Physical Therapist | 1107 Hwy 395 S, Gardnerville, NV 89410 | 2007-04-27 |
| 1467679217 | Stuart Sumner Drange | Dentist | 1480 Main Street, Hwy 395, Gardnerville, NV 89410 | 2007-04-20 |
| Find all providers in zip 89410 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467679217 | Stuart Sumner Drange | Dentist | 1480 Main Street, Hwy 395, Gardnerville, NV 89410 | 2007-04-20 |
| 1639212244 | Frank L Raschilla | Dentist | 1064 Riverview Dr, Gardnerville, NV 89460-8903 | 2007-02-14 |
| 1679669329 | Walter H. Niemeyer | Dentist | 1126 Bell St, Gardnerville, NV 89410-5246 | 2006-10-04 |
| 1851323406 | Richard J Dragon | Dentist | 1234 Waterloo Ln, Gardnerville, NV 89410-7373 | 2006-07-06 |
| 1316992738 | Robert James Houchin | Dentist | 1329 Us Highway 395 N Ste 10335, Gardnerville, NV 89410 | 2006-05-24 |
| 1669515268 | Timothy T Pinther | Dentist | 1064 Riverview Dr, Gardnerville, NV 89460-8903 | 2007-02-14 |
| 1295819894 | Dragon Dental, Inc. | Dentist | 1234 Waterloo Ln, Gardnerville, NV 89410-7373 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302400 | Margaret Rodriguez | Dentist | 3773 Baker Ln Ste 6, Reno, NV 89509-5490 | 2020-10-07 |
| 1760096614 | Nevada Dental Professional, Quirt, Gates, PC | Dentist | 55 S Valle Verde Dr Ste 250, Henderson, NV 89012-3479 | 2020-09-08 |
| 1851901755 | Christian J. Otteson | Dentist | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 |
| 1811506082 | Jorge Jimenez-marquez, Dmd, Pllc | Dentist | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 |
| 1235747643 | Sean Patrick Fitzgibbons | Dentist | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 |
| 1790303840 | Harrison Luu | Dentist | 4250 Simmons St Ste 100, North Las Vegas, NV 89032-0769 | 2020-07-06 |
| 1467079806 | Cristian Omar Sosa | Dentist | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 |
| 1538786421 | Colette Laree Fuglaar | Dentist | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 |
| 1700406618 | Joshua M. Ignatowicz Dmd PC | Dentist | 1070 W Horizon Ridge Pkwy Ste 121, Henderson, NV 89012-6019 | 2020-04-21 |
| 1083233001 | Flamingo Dental Partners LLC | Dentist | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | GARDNERVILLE |
| Zip Code | 89410 |
Please comment or provide details below to improve the information on ERIC S. PARK, DDS, PC.
| 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.