DENTAL PARK OF SAN JUAN PLLC (NPI# 1558969790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558969790 |
Entity Type | Organization |
Organization Name | DENTAL PARK OF SAN JUAN PLLC |
Practice Address |
1618 N Veterans Blvd Ste A San Juan TX 78589-3221 |
Practice Telephone | 9567837070 |
Enumeration Date | 2020-10-10 |
Last Update Date | 2020-10-10 |
Authorized Official Name | DR. CHAN MIN PARK (OWNER) |
Authorized Official Telephone | 9567837070 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | Dental Providers |
Street Address |
1618 N VETERANS BLVD STE A |
City | SAN JUAN |
State | TX |
Zip Code | 78589-3221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417598814 | Nueva Vida Primary Home Care LLC | In Home Supportive Care | 213 W. Business 83, San Juan, TX 78589 | 2019-10-07 |
1396207858 | Heart To Heart Talks, LLC | Counselor | 409 W. Fm 495, San Juan, TX 78589 | 2019-04-03 |
1386131209 | L4 Family Investments, LLC. | Technician | 1709 S Stewart Rd, San Juan, TX 78589 | 2018-04-16 |
1558741553 | Paraiso Dental Pllc | Clinic/Center | 1618 N Veterans Blvd Suite A, San Juan, TX 78589 | 2015-06-04 |
1811325970 | Liquid Dental, Pllc | Dentist | 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 | 2013-10-28 |
1598021966 | Kids Dental & Orthodontics | Dentist | 1618 N. I Road Suite A, San Juan, TX 78589 | 2012-04-10 |
1003180704 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 100 E Fm 495, San Juan, TX 78589 | 2012-02-28 |
1598074932 | Chukwunonso Jideofor Azikiwe | Physical Therapy Assistant | 407 W. State Hwy 495, San Juan, TX 78589 | 2010-10-04 |
1093044539 | Melissa Rivera Dds Pa | Dentist | 4500 N Raul Longoria Street, San Juan, TX 78589 | 2009-12-11 |
1598995607 | Marivel Lydia Cavazos | Nurse Practitioner | 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 | 2009-07-23 |
Find all providers in zip 78589 |
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 |
---|---|---|---|---|
1245856848 | Mayra A Colon Lopez | Dentist | Medical Sciences Campus, Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-06-19 |
1306469283 | Daniel John Morcos | Dentist | 105 S Cesar Chavez Rd Ste 2, San Juan, TX 78589-5203 | 2020-05-26 |
1669031704 | Charlene Ramos Villanueva | Dentist | University of Puerto Rico, Medical Sciences Campus, Sch, Medical Center Complex, Barrio Monacillos, San Juan, PR 00936 | 2019-06-12 |
1104380799 | Carina Perez-cisneros Armenteros | Dentist | University of Puerto Rico Ste B130c, Recinto De Ciencias Medicas Piso 1, San Juan, PR 00936-5067 | 2019-01-28 |
1902373707 | Arlene Sanchez | Dentist | Sdm Paseo Dr Celso Barbosa Medical Sciences Campus, San Juan, PR 00935-0001 | 2018-10-30 |
1699279620 | Ciudadela Dental Group | Dentist | 1511 Ave Juan Ponce De Leon, San Juan, PR 00909 | 2018-03-23 |
1447775457 | Nadyan Vargas | Dentist | University District Hospital, Pr Medical Center, Bo. Monacillos, San Juan, PR 00936 | 2017-08-10 |
1558804849 | Brenda L Acosta | Dentist | 3 Hortensia, Apt 16-m, San Juan, PR 00926 | 2016-11-18 |
1134572514 | Maria Margarita Justiniano Magraner | Dentist | 48 Ave. Munoz Rivera Cond. Aquablue Apt. 1402, San Juan, PR 00918 | 2016-07-20 |
1275905770 | Francisco Tomas Colon Sr. | Dentist | 246 Calle Traveris, Urb College Park Iv, San Juan, PR 00921-4301 | 2015-10-22 |
Find all providers in SAN JUAN |
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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.