DR. AARON PARK (NPI# 1861686875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861686875 |
| Entity Type | Individual |
| Full Name | DR. AARON PARK |
| Credential | D.D.S., M.D. |
| Practice Address |
1107 S Fifth St Ste 250 Mebane NC 27302-9896 |
| Practice Telephone | 9195632873 |
| Practice Fax Number | 9195632876 |
| Mailing Telephone | 9195632873 |
| Mailing Fax Number | 9195632876 |
| Enumeration Date | 2007-09-02 |
| Last Update Date | 2017-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 052778 | NY | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9268 | NC | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 2017-02466 | NC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 269639 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02888484 | 05 | |
| NC | 5919946 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1316239320 | Aaron Park | Acupuncturist | 224 Torrey Pines Dr, Toms River, NJ 08757 | 2011-05-09 |
| 1518437367 | Aaron Park | Physician Assistant | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2018-12-04 |
| 1184120792 | Aaron Park | Student in an Organized Health Care Education/Training Program | 355 Grand St, Jersey City, NJ 07302-4321 | 2018-04-03 |
| 1073952321 | Aaron Park | Dentist | 2384 Monroe Ave, Rochester, NY 14618-3032 | 2013-06-20 |
| 1992033104 | Aaron Ilkee Park | Physical Therapist | 510 8th Ave Ne, Suite 340, Issaquah, WA 98029-5436 | 2009-11-28 |
| Street Address |
1107 S FIFTH ST STE 250 |
| City | MEBANE |
| State | NC |
| Zip Code | 27302-9896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013098698 | Charles Lee Ellis | Dentist | 1107 S Fifth St Ste 250, Mebane, NC 27302-9896 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389117 | Heather Shelton | Speech-Language Pathologist | 2502 S Nc 119, Mebane, NC 27302 | 2018-09-13 |
| 1538653514 | I.c.a.r.e. Counseling Services, Pllc | Counselor | 106 S Fourth St Ste A, Mebane, NC 27302 | 2018-06-21 |
| 1558860858 | Ridge Care Inc | Custodial Care Facility | 1999 South Highway 119 S, Mebane, NC 27302 | 2018-02-02 |
| 1619496767 | Lindsay Elizabeth Grobman | Physical Therapist | 412 Tighfield Dr, Mebane, NC 27302 | 2017-09-10 |
| 1760911689 | Lane and Associates Xxxi, Dds, Pa | Dentist | 1242 S Fifth St, Mebane, NC 27302 | 2017-06-05 |
| 1386042554 | Alamance Manor Assisted Living LLC | Custodial Care Facility | 1999 South Highway 150, Mebane, NC 27302 | 2014-12-19 |
| 1467850883 | Hope's Highway, Pllc | Social Worker | 105 East Center St., Suite B9, Mebane, NC 27302 | 2014-12-17 |
| 1841639341 | Blankenship Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6207 Paylor Street, Mebane, NC 27302 | 2013-06-18 |
| 1346689171 | Champion Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 507 Blue Lake Drive, Mebane, NC 27302 | 2013-06-14 |
| 1306284195 | Falcon Crest Residential Care | Community/Behavioral Health | 2094 Haith-fuller Trail, Mebane, NC 27302 | 2013-06-13 |
| Find all providers in zip 27302 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689224495 | Graham H. Wilson, Dds, Pa | Dentist | 7971 Market Street, Wilmington, NC 28411-9383 | 2019-09-13 |
| 1699263137 | John Breeze | Dentist | Duke University Medical Centre, Durham, NC 27710-0001 | 2018-04-30 |
| 1750823746 | Nazir Ahmad Dds V Pa | Dentist | 2500 Blue Ridge Rd Ste 201, Raleigh, NC 27607-7515 | 2016-11-08 |
| 1447600119 | Jason Michael Goldberg | Dentist | 8815 Christenbury Pkwy Ste 40, Concord, NC 28027-0261 | 2016-06-14 |
| 1760839757 | Nazir Ahmad Dds Iv, Pa | Dentist | 3150 Rogers Rd Ste 111, Wake Forest, NC 27587-4196 | 2016-05-19 |
| 1801262530 | Bradley Paul Storrs | Dentist | 6837 Normandy Rd Bldg B, Attn: Charles Bernatovitz, Fort Bragg, NC 28310-0001 | 2015-08-17 |
| 1003296831 | Jesse Eric Ricciuti | Dentist | 10042 Park Cedar Dr Ste B, Charlotte, NC 28210 | 2015-06-07 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1255737078 | Platte Valley Oral & Maxillofacial Surgery LLC | Dentist | 416 Valley View Drive, Suite 800, Scottsbluff, NC 69361-1420 | 2014-11-05 |
| 1780080655 | Robert L Stutts IIi Dmd Paii | Dentist | 200 E Wendover Ave Ste B, Greensboro, NC 27401-1227 | 2014-11-05 |
| Find all providers with the same taxonomy | ||||
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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.