DR. JAMES PARK (NPI# 1245689728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245689728 |
| Entity Type | Individual |
| Full Name | DR. JAMES PARK |
| Credential | D.M.D |
| Practice Address |
65 Cr 542w Bushnell FL 33513-4515 |
| Practice Telephone | 3525690100 |
| Mailing Telephone | 3525690100 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN 21873 | FL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5220 Red Bug Lake Rd, Winter Springs, FL 32708 | 4077063434 | |
| 9436 Narcoossee Rd, Orlando, FL 32827 | 3213002235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669764874 | James Park | Radiology | 6 Ohio Dr Ste 204, New Hyde Park, NY 11042-1129 | 2011-05-05 |
| 1881825586 | James D Park | Physical Therapy Assistant | 222 Morgan Ave, Ashland, OH 44805-3828 | 2009-07-30 |
| 1528229200 | James Park | Physical Therapist | 962 Kinderkamack Road, River Edge, NJ 07661-2331 | 2008-06-24 |
| 1770768871 | James Sang Yun Park | Dentist | 4971 Orange Ave, Cypress, CA 90630-2805 | 2008-01-08 |
| 1073713772 | James Sungsik Park | Internal Medicine | 530 1st Ave # Hcc4j, New York, NY 10016-6402 | 2007-07-20 |
| 1265554828 | James Jaehyun Park | Dentist | 4520 Mint Hill Village Ln, Unit #107, Mint Hill, NC 28227 | 2007-04-04 |
| 1134272719 | James Park | Dentist | 359 S Washington Ave, Bergenfield, NJ 07621-4311 | 2007-01-18 |
| 1902971344 | James Park | Acupuncturist | 709 W Whittier Blvd, Montebello, CA 90640-4709 | 2006-11-21 |
| 1922188754 | James R Park | Chiropractor | 1096 36th St, Ogden, UT 84403-2035 | 2006-10-16 |
| 1912014366 | James S Park | Chiropractor | 15027 Aurora Ave N, Shoreline, WA 98133-6134 | 2006-08-23 |
| Street Address |
65 CR 542W |
| City | BUSHNELL |
| State | FL |
| Zip Code | 33513-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942384508 | Joseph Brent Novak | Dentist | 65 Cr 542w, Bushnell, FL 33513-4515 | 2006-10-24 |
| 1841447190 | Joseph Brent Novak, Dmd,pa | Dentist | 65 Cr 542w, Bushnell, FL 33513-4515 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619465481 | Crystal Wallace Goddin | Physical Therapy Assistant | 1104 N Main St, Bushnell, Fl, Bushnell, FL 33513 | 2018-04-27 |
| 1255836920 | Anton Dawson | Behavior Technician | 2310 Cr 615, Bushnell, FL 33513 | 2018-03-26 |
| 1942728431 | Carolyn Sue Guarino | Licensed Practical Nurse | 10306 S.w. 53rd Terr., Bushnell, FL 33513 | 2017-09-05 |
| 1326321258 | Edith Marie Evans | Case Manager/Care Coordinator | 2891 C.r. 615b, Bushnell, FL 33513 | 2011-09-27 |
| 1144478439 | Emma J Ridley | Pharmacist | Sumter Oaks Park, 4602 Couny Rd. 673, #14107, Bushnell, FL 33513 | 2008-08-29 |
| 1205083268 | Diana K Mullin | Day Training, Developmentally Disabled Services | 9325 Cr 622 G, Bushnell, FL 33513 | 2008-08-21 |
| 1467625202 | Amy's Caring Hands | Day Training, Developmentally Disabled Services | 1612 W County Road 476, Bushnell, FL 33513 | 2008-04-11 |
| 1821212952 | Stuart J Kaufman Md & Assoc Pa | Ophthalmology | 1814 West Cr 48, Bushnell, FL 33513 | 2007-04-12 |
| 1740201128 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1122 N Main St, Bushnell, FL 33513 | 2006-07-21 |
| 1184688947 | Florida Department of Health | Public Health or Welfare | 415 E Noble Ave, Bushnell, FL 33513 | 2006-04-17 |
| Find all providers in zip 33513 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1003416017 | Phillip Jeffery Kelemen | Dentist | 5913 Plainview Dr, Port Orange, FL 32127-8911 | 2020-10-28 |
| 1215536081 | Kenneth A Mogell Dmd Pa | Dentist | 787 37th St Ste 180, Vero Beach, FL 32960-7305 | 2020-10-22 |
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1477151520 | Beacon Dental LLC | Dentist | 800 Se 4th Ave Ste 720, Hallandale Beach, FL 33009-6496 | 2020-10-12 |
| 1972100451 | South Florida Sleep Solutions LLC | Dentist | 9100 Sw 53rd St, Cooper City, FL 33328-5021 | 2020-10-07 |
| 1346847134 | Kenward & Mayoral Dentistry Partnership | Dentist | 8950 Sw 74th Ct Ste 1212, Miami, FL 33156-3170 | 2020-10-05 |
| 1174139893 | Haitham Nabood | Dentist | 7504 Ne 6th Ct Apt 5, Miami, FL 33138-5184 | 2020-09-17 |
| 1689289613 | Sydney Taylor Brown | Dentist | 4455 Sam Mitchell Dr Unit Dental, Chipley, FL 32428-3501 | 2020-09-15 |
| 1679188957 | Kai Ta Huang | Dentist | 1950 Laurel Manor Dr Ste 160, The Villages, FL 32162-5610 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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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.