JAEWOO PARK (NPI# 1184105330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184105330 |
| Entity Type | Individual |
| Full Name | JAEWOO PARK |
| Credential | DDS |
| Practice Address |
351 Loucks Rd Ste E4 York PA 17404-1740 |
| Mailing Address |
241 N George St Apt 302 York PA 17401-1131 |
| Practice Telephone | 7178483600 |
| Mailing Telephone | 7149001168 |
| Enumeration Date | 2018-08-26 |
| Last Update Date | 2018-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS041945 | PA | Dental Providers |
| Street Address |
351 LOUCKS RD STE E4 |
| City | YORK |
| State | PA |
| Zip Code | 17404-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376776062 | Dental Dreams, LLC | Dentist | 351 Loucks Rd Ste E4, York, PA 17404-1740 | 2009-08-27 |
| 1285242909 | Uma Devi Vadlamani | Dentist | 351 Loucks Rd Ste E4, York, PA 17404-1740 | 2020-07-20 |
| 1124655980 | Preston Richard Devens | Dentist | 351 Loucks Rd Ste E4, York, PA 17404-1740 | 2020-03-23 |
| 1649755810 | Dian Li | Dentist | 351 Loucks Rd Ste E4, York, PA 17404-1740 | 2018-10-03 |
| 1225516099 | Kyung Yeup Han | Dentist | 351 Loucks Rd Ste E4, York, PA 17404-1740 | 2018-08-02 |
| 1376068403 | Arash Ashton Merati | Dentist | 351 Loucks Rd Ste E4, York, PA 17404-1740 | 2017-08-10 |
| 1285074096 | Edward Sungwon Nam | Dentist | 351 Loucks Rd Ste E4, York, PA 17404-1740 | 2013-06-26 |
| 1386972834 | Hyungsoo Kim | Dentist | 351 Loucks Rd Ste E4, York, PA 17404-1740 | 2009-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457729584 | Aspire Prosthetics & Orthotics Inc. | Prosthetic/Orthotic Supplier | 506 Greenbriar Rd., York, PA 17404 | 2015-09-06 |
| 1043619752 | Roberta Reib Munsell | Counselor | 651 Albright Avenue, York, PA 17404 | 2014-08-19 |
| 1104113752 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1207 Carlisle Rd, Ste. 880, York, PA 17404 | 2011-07-05 |
| 1184917254 | Morris E Ogun | Pharmacist | 40-42 West Market Street, York, PA 17404 | 2011-05-24 |
| 1295030245 | Counseling & Rehabilitation Services of York | Psychologist | 437 West Market St., York, PA 17404 | 2011-01-24 |
| 1609008556 | Venkateswar R Kapa | Dentist | 351 Loucks Rd, York, PA 17404 | 2009-08-11 |
| 1114176294 | Concentra Health Services, Inc. | Clinic/Center | 2141 Pennsylvania Avenue, York, PA 17404 | 2008-09-15 |
| 1548473176 | Patricia Neel Harberger | Registered Nurse | 2159 White Street, Partners In Family Health, York, PA 17404 | 2007-05-08 |
| 1679799936 | Updegrove & Updegrove | Dentist | 439 N West St, York, PA 17404 | 2007-04-17 |
| 1427171271 | Bell Club, Inc. | Community/Behavioral Health | 3955 West Market Street, York, PA 17404 | 2007-04-09 |
| Find all providers in zip 17404 | ||||
| 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 |
|---|---|---|---|---|
| 1821524844 | David Modlin & Ryan Londry Dds Pllc | Dentist | 1015 Creekside Medical Dr, York, SC 29745-8624 | 2017-05-11 |
| 1063966588 | Mary Chen-huang | Dentist | 3013 E Market St # A-100, York, PA 17402-2513 | 2016-08-12 |
| 1740648005 | Dental Professionals of Pennsylvania, PC | Dentist | 3013 E Market St, Suite 100, York, PA 17402-2502 | 2016-02-02 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1043568777 | Julie Cha | Dentist | 1629 W Market St Apt 1, York, PA 17404-5481 | 2012-08-28 |
| 1669748885 | Dental Professionals of Pennsylvania P C | Dentist | 1623 Rodney Rd, York, PA 17408-9106 | 2012-04-02 |
| 1346546066 | Yorkshire Dental | Dentist | 3233 Eastern Blvd, York, PA 17402-3031 | 2011-01-27 |
| 1558594200 | Rashmi Deshpande | Dentist | 2803 Concord Rd, York, PA 17402-7007 | 2009-08-28 |
| 1376776062 | Dental Dreams, LLC | Dentist | 351 Loucks Rd Ste E4, York, PA 17404-1740 | 2009-08-27 |
| 1609008556 | Venkateswar R Kapa | Dentist | 351 Loucks Rd, York, PA 17404 | 2009-08-11 |
| Find all providers in YORK | ||||
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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.