JOSEPH PARK (NPI# 1699916585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699916585 |
| Entity Type | Individual |
| Full Name | JOSEPH PARK |
| Credential | D.D.S. |
| Practice Address |
2411 Williams Dr Ste 111 Georgetown TX 78628-3268 |
| Mailing Address |
205 E University Ave Ste 200 Georgetown TX 78626-6821 |
| Practice Telephone | 8778005722 |
| Practice Fax Number | 5128641447 |
| Mailing Telephone | 8778005722 |
| Mailing Fax Number | 5128692940 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2018-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DE60056279 | WA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
28680 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 802 Avenue J, Marble Falls, TX 786545125 | 8778005722 | 8306932481 |
| 2120 N Mays St Ste 430, Round Rock, TX 786642108 | 8778005722 | 5122556404 |
| 605 Old Austin Hwy, Bastrop, TX 786025034 | 8778005722 | 5123322180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156622 | Joseph Park | Social Worker | 100 N Bellefield Ave Ste 618, Pittsburgh, PA 15213-2600 | 2018-09-06 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1700206869 | Joseph Choi Park | Otolaryngology | 601 N Caroline St # Street6, Baltimore, MD 21287-0006 | 2014-04-16 |
| 1700203700 | Joseph Park | Student in an Organized Health Care Education/Training Program | 1049 Rosedale Rd, Valley Stream, NY 11581-2704 | 2014-03-27 |
| 1760726574 | Joseph Park | Physical Therapist | 12465 Lewis Street, Suite 101, Garden Grove, CA 92840-4658 | 2012-11-16 |
| 1821139841 | Joseph Yip Park | Dentist | 2017 Queensguard Rd, Silver Spring, MD 20906-2032 | 2007-02-11 |
| 1891848412 | Joseph Park | Family Medicine | 3805 Main St Ste 112, The Colony, TX 75056-2853 | 2007-01-18 |
| 1194896373 | Joseph Park | Acupuncturist | 134 Howard St, Petaluma, CA 94952-2922 | 2006-11-10 |
| 1811079098 | Joseph M Park | Urology | 63 South 9th Street, Indiana, PA 15701 | 2006-10-19 |
| 1215971494 | Joseph Rae Park | Anesthesiology | Unit 15244, Apo, AP 96205 | 2006-06-16 |
| Street Address |
2411 WILLIAMS DR STE 111 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-3268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457853137 | Guadalupe Lezama De Solar | Dental Hygienist | 2411 Williams Dr Ste 111, Georgetown, TX 78628-3268 | 2018-03-08 |
| 1548771660 | Karen Evelyn Ross | Dental Hygienist | 2411 Williams Dr Ste 111, Georgetown, TX 78628-3268 | 2017-10-16 |
| 1457610685 | Celia Ann Tays | Dentist | 2411 Williams Dr Ste 111, Georgetown, TX 78628-3268 | 2012-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407408354 | Carol Farn | Dentist | 3737 Williams Dr, Georgetown, TX 78628-2401 | 2019-07-11 |
| 1316507494 | Ian Bradley Emerson | Dentist | 9215 State Road 64, Georgetown, IN 47122-8833 | 2019-06-19 |
| 1396224580 | Advanced Dentistry and Cosmetic Center | Dentist | 230 Connector Rd, Georgetown, KY 40324-9722 | 2018-08-09 |
| 1669910592 | Phoebe Y Sun | Dentist | 203 Champion Way Ste 6, Georgetown, KY 40324-8861 | 2017-02-12 |
| 1063864965 | Andrew Edmonds | Dentist | 4405 Williams Dr Ste 300, Georgetown, TX 78628-1383 | 2016-07-05 |
| 1740562719 | Adam Thompson Dmd Pllc | Dentist | 203 Champion Way, Suite #6, Georgetown, KY 40324-8861 | 2011-09-15 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1205082096 | Robert L. Cieri | Dentist | 73 Redding Road, Unit 5, Georgetown, CT 06829 | 2008-08-12 |
| 1578747325 | Euclid Newton Mcleod Jr. | Dentist | 1 Citizens Plz, 1102 S. Main St., Georgetown, TX 78626-5825 | 2007-12-27 |
| 1679785612 | Mandy Lee Holley | Dentist | 3613 Williams Dr., Suite 1001, Georgetown, TX 78628 | 2007-05-03 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
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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.