DR. CHARLIE PARK (NPI# 1598932212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598932212 |
| Entity Type | Individual |
| Full Name | DR. CHARLIE PARK |
| Practice Address |
401 Commerce Dr Suite 108 Ft Washington PA 19034-2714 |
| Practice Telephone | 2674604254 |
| Mailing Telephone | 2674604254 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2012-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS038502 | PA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535956 | Charlie Chulhyun Park | Student in an Organized Health Care Education/Training Program | 1427 Lomita Blvd Unit 7, Harbor City, CA 90710-2097 | 2018-04-19 |
| Street Address |
401 COMMERCE DR SUITE 108 |
| City | FT WASHINGTON |
| State | PA |
| Zip Code | 19034-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821332701 | American Family Dentistry, P.C. | Dentist | 401 Commerce Dr, Suite 108, Ft Washington, PA 19034-2714 | 2012-11-16 |
| 1306190897 | Advanced Family Smile Care, PC | Dentist | 401 Commerce Dr, Suite 108, Ft Washington, PA 19034-2714 | 2012-11-05 |
| 1376895474 | Advanced Oral Surgery PC | Dentist | 401 Commerce Dr, Suite 108, Ft Washington, PA 19034-2714 | 2012-10-12 |
| 1477828721 | Ali Mahin Arastu | Dentist | 401 Commerce Dr, Suite 108, Ft Washington, PA 19034-2714 | 2012-03-20 |
| 1265729776 | Rajan D Faldu | Dentist | 401 Commerce Dr, Suite 108, Ft Washington, PA 19034-2714 | 2011-07-05 |
| 1417123654 | Andrew David Miller | Dentist | 401 Commerce Dr, Suite 108, Ft Washington, PA 19034-2714 | 2008-05-07 |
| 1215981394 | Tendedr Loving Care Health Care Services of Pa, LLC | Home Health | 401 Commerce Dr, 2nd Fl, Ft Washington, PA 19034-2714 | 2006-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376038810 | Child and Family Focus, Inc. | Community/Behavioral Health | 800 Losh Alsh Avenue, Fort Washington, PA 19034 | 2018-06-27 |
| 1902398688 | Axia Ambulatory Surgery Center | Clinic/Center | 476 Pennsylvania Ave, Suite 202b, Fort Washington, PA 19034 | 2018-05-30 |
| 1336691245 | Elverl Fully | Registered Nurse | 500 Office Center Drive, Suite 400, The Ellison's Nursing Group, LLC, Fort Washington, PA 19034 | 2016-10-26 |
| 1881140028 | Sulvena Pierre | Licensed Practical Nurse | 500 Office Center Drive, Suite 400 Fort Washington, Fort Washington, PA 19034 | 2016-08-28 |
| 1730536145 | Robert Slauch | Dentist | 467 Pennsylvania Ave Ste 201, Fort Washington, PA 19034 | 2016-05-16 |
| 1699145821 | Anna Oldfield | Nurse Practitioner | 735 Susquehanna Rd, Fort Washington, PA 19034 | 2015-09-30 |
| 1598149247 | Victoria T Adepoju | Licensed Practical Nurse | 500 Office Centre Drive Suite 400, Fort Washinghton, PA 19034 | 2015-07-13 |
| 1700210408 | Wendy Lynn Holmes | Physical Therapy Assistant | 735 Susquehanna Rd., Fort Washington Estates, Fort Washington, PA 19034 | 2013-08-29 |
| 1629316567 | The Ellison Nursing Group | Licensed Practical Nurse | 500 Office Center Drive, Suite 400, Fort Washington, PA 19034 | 2013-01-28 |
| 1841540416 | Barbara Portnoy | Dentist | 1244 Ft. Washington Ave., Suite M-1, Fort Washington, PA 19034 | 2012-09-11 |
| Find all providers in zip 19034 | ||||
| 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 |
|---|---|---|---|---|
| 1821332701 | American Family Dentistry, P.C. | Dentist | 401 Commerce Dr, Suite 108, Ft Washington, PA 19034-2714 | 2012-11-16 |
| 1306190897 | Advanced Family Smile Care, PC | Dentist | 401 Commerce Dr, Suite 108, Ft Washington, PA 19034-2714 | 2012-11-05 |
| 1366608531 | Charmaine Anne Wynter | Dentist | 10903 Indian Head Hwy, Suite # 202, Ft Washington, MD 20744-4000 | 2008-08-06 |
| 1417123654 | Andrew David Miller | Dentist | 401 Commerce Dr, Suite 108, Ft Washington, PA 19034-2714 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555426 | Andrew Morrison | Dentist | 1575 Highlands Dr Ste 100, Lititz, PA 17543-7507 | 2020-10-12 |
| 1497362982 | Samar Al Quraishi | Dentist | 625 E Lancaster Ave Apt C303, Wynnewood, PA 19096-2028 | 2020-09-28 |
| 1891301875 | Livewell Dentistry Pllc | Dentist | 125 Towne Centre Blvd Ste 510, Wexford, PA 15090-5619 | 2020-09-16 |
| 1396351318 | Mostafa Alwakeel | Dentist | 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 | 2020-09-16 |
| 1235743857 | Gurkirt Singh | Dentist | 833 N Bethlehem Pike, Spring House, PA 19477 | 2020-09-01 |
| 1245844927 | Puja Shah | Dentist | 602 S Bethlehem Pike Ste C2, Ambler, PA 19002-5800 | 2020-09-01 |
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1811508922 | Eleine Laffita Aguilera | Dentist | 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 | 2020-08-12 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1578172128 | Selena Nguyen | Dentist | 4837 N Broad St, Philadelphia, PA 19141-2107 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | FT WASHINGTON |
| Zip Code | 19034 |
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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.