DR. SUNG PARK (NPI# 1538427786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538427786 |
| Entity Type | Individual |
| Full Name | DR. SUNG PARK |
| Credential | DMD |
| Practice Address |
6804 43rd Ave Fl 1 Woodside NY 11377-5153 |
| Mailing Address |
68-04 43rd Ave 1fl Woodside NY 11377 |
| Practice Telephone | 3474595235 |
| Mailing Telephone | 3474595235 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 055824 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558927913 | Sung Uk Park | Acupuncturist | 22001 Jamaica Ave Fl 2, Queens Village, NY 11428-2140 | 2019-05-11 |
| 1922493345 | Sung Keun Park | Dentist | 467 S Davy Crockett Pkwy Ste 1, Morristown, TN 37813-1995 | 2015-04-02 |
| 1073864831 | Sung Ho Park | Acupuncturist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2012-09-19 |
| 1144407230 | Sung Ah Park | Acupuncturist | 670 E Commonwealth Ave # A, Fullerton, CA 92831-4514 | 2008-01-30 |
| 1386256576 | Sung Park | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-19 |
| 1033670914 | Sung Woong Park | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-03-25 |
| 1962998070 | Sung Park | Pharmacist | 13410a Guy R Brewer Blvd, Jamaica, NY 11434-3728 | 2018-07-02 |
| 1154860104 | Sung H Park | Orthotic Fitter | 5602 Oakham Pl, Centreville, VA 20120-5214 | 2017-02-22 |
| 1720532344 | Sung Seong Park | Dentist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2016-08-11 |
| 1952690125 | Sung Mi Park | Acupuncturist | 4747 Hallowed Strm, Ellicott City, MD 21042-7902 | 2011-03-28 |
| Street Address |
6804 43RD AVE FL 1 |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| 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 |
|---|---|---|---|---|
| 1699010736 | Jeffrey Carrasquillo | Dentist | 6625 Maurice Ave, Woodside, NY 11377-7536 | 2012-11-29 |
| 1750687042 | Armando Rubante Larraga | Dentist | 51-14 Skillman Ave., Woodside, NY 11377 | 2011-02-03 |
| 1780985853 | Young Ham Kwon | Dentist | 4013 69th St, Woodside, NY 11377-3835 | 2010-11-05 |
| 1871807107 | Noor Us Sabah | Dentist | 3202 53rd Pl, Woodside, NY 11377-1926 | 2010-07-28 |
| 1902062821 | Abra J. Dilisio | Dentist | 3905 61st St, Woodside, NY 11377-3566 | 2008-07-30 |
| 1184885709 | Beth Erica Broth Messinger | Dentist | 5940 Queens Blvd, Woodside, NY 11377 | 2008-06-17 |
| 1649442583 | Jay Bernstein | Dentist | 4414 47th Ave, A-2, Woodside, NY 11377-6131 | 2008-04-01 |
| 1255469466 | Marina U. Shimuny | Dentist | 5420 31st Ave, Woodside, NY 11377-1610 | 2007-03-01 |
| 1063554640 | Jeffery B Jones A Professional Corporation | Dentist | 2977 Woodside Road, Woodside, CA 94062 | 2007-02-12 |
| 1376698746 | Amber Prazan | Dentist | 5903 Roosevelt Ave, Woodside, NY 11377-3546 | 2007-01-24 |
| Find all providers in WOODSIDE | ||||
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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.