DAVID B PARK (NPI# 1588837330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588837330 |
| Entity Type | Individual |
| Full Name | DAVID B PARK |
| Credential | DDS MD |
| Practice Address |
260 Middle Country Rd Building 2, Suite 12 Selden NY 11784-2568 |
| Practice Telephone | 6316969752 |
| Practice Fax Number | 6316965096 |
| Mailing Telephone | 6316969752 |
| Mailing Fax Number | 6316965096 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2009-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 50051020DDS | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1447879648 | David Jaehyun Park | Student in an Organized Health Care Education/Training Program | 193 Oak St Apt 202e, Newton Upper Falls, MA 02464-1449 | 2020-04-09 |
| 1093363574 | David Mansug Park | Acupuncturist | 5200 Newberry Rd Ste D8, Gainesville, FL 32607-2177 | 2019-08-28 |
| 1831614387 | David Ji Hyun Park | Dentist | 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 | 2017-08-06 |
| 1265686448 | David H Park | Dentist | 3530 Dartmouth Ln, Rowland Heights, CA 91748-5135 | 2008-11-14 |
| 1578763413 | David Kyung-il Park | Emergency Medicine | 2500 Merced Sreet, San Leandro, CA 94577-4201 | 2007-07-19 |
| 1942410501 | David S Park | Dentist | 10390 Coloma Rd Ste A, Rancho Cordova, CA 95670-2152 | 2007-05-23 |
| 1780762245 | David Hwantae Park | Optometrist | 7750 N Macarthur Blvd, Ste 180, Irving, TX 75063-7524 | 2006-11-01 |
| 1942315874 | David Daegeun Park | Family Medicine | 119 S Fuquay Avenue, Fuquay-varina, NC 27526-2210 | 2006-08-20 |
| 1114558897 | David Seho Park | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-01-30 |
| Street Address |
260 MIDDLE COUNTRY RD BUILDING 2, SUITE 12 |
| City | SELDEN |
| State | NY |
| Zip Code | 11784-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356859417 | Hatem M Jaber | Physical Therapist | 260 Middle Country Rd, Selden, NY 11784-2568 | 2018-01-11 |
| 1568860104 | Ahmed Abdeldayem | Physical Therapist | 260 Middle Country Rd, Building 3, Suite 9-a, Selden, NY 11784-2568 | 2014-12-14 |
| 1043615487 | Phaedra Luna | Occupational Therapist | 260 Middle Country Rd, Bldg 3 Suite 9-a, Selden, NY 11784-2568 | 2014-10-28 |
| 1659623890 | Brenda Santiago | Physical Therapist | 260 Middle Country Rd, Bldg 3 Suite 9-a, Selden, NY 11784-2568 | 2012-10-12 |
| 1023367133 | Sarah Sy Aldana | Physical Therapist | 260 Middle Country Rd, # 9-a, Selden, NY 11784 | 2012-09-05 |
| 1689951972 | Harold M Moniz | Physical Therapist | 260 Middle Country Rd, Building 3, Suite 9 -a, Selden, NY 11784-2568 | 2011-11-15 |
| 1871883249 | Phani Jaya Sree Kaza | Physical Therapist | 260 Middle Country Rd, Bldg.3, Suite 9-a, Selden, NY 11784-2568 | 2011-04-19 |
| 1477792224 | Gertrude Remorozo Calica | Physical Therapist | 260 Middle Country Rd, # 9a, Selden, NY 11784-2568 | 2009-02-17 |
| 1609013465 | Haydee Pondar | Occupational Therapist | 260 Middle Country Rd, Bldg 3 Suite 9 A, Selden, NY 11784-2568 | 2009-01-15 |
| 1699841163 | Stephen Scotto-lavino | Dentist | 260 Middle Country Rd, Suite 20, Selden, NY 11784-2568 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144700113 | Taylor Mones | Occupational Therapist | 38 Sandy Lane, Selden, NY 11784 | 2018-08-18 |
| 1467942912 | Lisa Lucchese | Registered Nurse | 40 Kensington Avenue, Selden, NY 11784 | 2018-05-10 |
| 1194246629 | Jessica Ann Cutrone | Specialist | 13 Berkeley Ave, Selden, NY 11784 | 2017-07-06 |
| 1811429780 | Jennifer Kinsella | Registered Nurse | 553 College Road, Selden, NY 11784 | 2017-03-30 |
| 1932647781 | Kathleen A Reilly | Behavior Technician | 25 Buckskin Lane, Selden, NY 11784 | 2017-02-01 |
| 1942758933 | Claire Moore | Physician Assistant | 239 Boyle Rd Ste 7, Selden, NY 11784 | 2016-09-19 |
| 1104206051 | Anna Satalino | Psychologist | 163 South Evergreen Dr, Selden, NY 11784 | 2015-06-05 |
| 1275963597 | Rosalyn Grasparil | Physical Therapist | 260 Middle Country Rd Bldg 3 Suite 9-a, Selden, NY 11784 | 2013-11-22 |
| 1295002772 | Christian Leparto | Registered Nurse | 12 Elm Ct, Selden, NY 11784 | 2011-11-28 |
| 1275800260 | Maryse Leveque | Registered Nurse | 4 Richard Road, Selden, NY 11784 | 2011-11-19 |
| Find all providers in zip 11784 | ||||
| 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 |
|---|---|---|---|---|
| 1851923809 | Asnis Dental Pllc | Dentist | 260 Middle Country Rd Ste 20, Selden, NY 11784-2530 | 2020-02-07 |
| 1255539227 | Martin Gary Safran | Dentist | 617 Hawkins Rd, Selden, NY 11784-2224 | 2007-07-11 |
| 1669587218 | Carlton Alba Sumner | Dentist | 235 Boyle Rd, Selden, NY 11784 | 2006-08-21 |
| 1932123171 | Philip Kushner | Dentist | 325 Middle Country Rd, Selden, NY 11784-2545 | 2006-07-27 |
| 1427049212 | Barry Stuart Wilder | Dentist | 805 Middle Country Rd, Selden, NY 11784-2504 | 2005-11-02 |
| 1013103159 | Manish Soral | Dentist | 280 Middle Country Rd Ste K, Selden, NY 11784-2532 | 2007-09-22 |
| 1699841163 | Stephen Scotto-lavino | Dentist | 260 Middle Country Rd, Suite 20, Selden, NY 11784-2568 | 2006-11-28 |
| 1538140504 | Norman Gross | Dentist | 805 Middle Country Rd, Selden, NY 11784-2504 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
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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.