SANG HOON PARK (NPI# 1629242946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629242946 |
| Entity Type | Individual |
| Full Name | SANG HOON PARK |
| Credential | D.D.S. |
| Practice Address |
650 W Baltimore St Room 4203 Baltimore MD 21201-1510 |
| Practice Telephone | 4438279248 |
| Mailing Telephone | 4438279248 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
13704 | MD | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DEN1000707 | DC | Dental Providers |
| Street Address |
650 W BALTIMORE ST ROOM 4203 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867599 | Stewart Alan Bergman | Dentist | 650 W Baltimore St, Suite 414, Baltimore, MD 21201-1510 | 2005-08-02 |
| 1912524737 | Henry Mercer Vanderfin | Student in an Organized Health Care Education/Training Program | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-06-26 |
| 1689298606 | Justin Gervais Milo | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-06-05 |
| 1083234215 | Jessica Rachel Berman | Student in an Organized Health Care Education/Training Program | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-04-17 |
| 1568082741 | Ameena Osama H Jaafar | Student in an Organized Health Care Education/Training Program | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-04-17 |
| 1780203174 | Mark Lee Harris II | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-04-15 |
| 1376170266 | Jennifer Pham Nguyen | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-03-23 |
| 1942841192 | Mohamed Mahrous Shabayek | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2019-09-30 |
| 1235798059 | Camila Coyne | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2019-06-06 |
| 1174188692 | Mason A Bahador | Dentist | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407396369 | Gonzalo Blasi | Dentist | 305 W Fayette St Apt 1412, Baltimore, MD 21201-3466 | 2017-02-26 |
| 1790149052 | Kevin George Murphy | Dentist | 6080 Falls Rd #202, Baltimore, MD 21209-2498 | 2016-04-12 |
| 1558610444 | Mary Gray Lee | Dentist | 6080 Falls Road, Suite 202, Baltimore, MD 21209 | 2012-09-06 |
| 1811244627 | Kim-thi Van-dinh | Dentist | 3801 Canterbury Rd, Unit 407, Baltimore, MD 21218-2370 | 2012-08-10 |
| 1568731883 | Robert Irvin Sachs | Dentist | University of Maryland Dental School, Adv Genl Dent, 650 West Baltimore Street, Baltimore, MD 21201 | 2011-12-14 |
| 1275657744 | Paul R Friedman | Dentist | 103 Sudbrook Ln, Baltimore, MD 21208-4121 | 2007-03-19 |
| 1073653002 | Mary Elizabeth Aichelmann-reidy | Dentist | 650 West Baltimore Street, Room, 4209, Department of Periodontics, Baltimore, MD 21201-1510 | 2007-02-07 |
| 1952440224 | William John Bowen | Dentist | 4019 Wilkens Avenue, Baltimore, MD 21229 | 2007-02-05 |
| 1396807210 | Barbara A. Lesco, D.d.s., P.a. | Dentist | 2 E Lee St, Baltimore, MD 21202-6002 | 2006-12-15 |
| 1457413734 | Andrew Theeman Fried | Dentist | 9712 Belair Rd Ste 304, Baltimore, MD 21236-1113 | 2006-12-14 |
| Find all providers in BALTIMORE | ||||
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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.