GRACE EUNKYOUNG PARK


Address: 1024 Sw Highland Dr, #a, Gresham, OR 97080-6353
Phone: 5034927798

GRACE EUNKYOUNG PARK (NPI# 1871602722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871602722
Entity Type Individual
Full Name GRACE EUNKYOUNG PARK
Credential DMD
Practice Address 1024 Sw Highland Dr
#a
Gresham
OR 97080-6353
Practice Telephone 5034927798
Practice Fax Number 5034929020
Mailing Telephone 5034927798
Mailing Fax Number 5034929020
Enumeration Date 2006-08-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D6881 OR Dental Providers

Other Providers GRACE PARK

NPI Name Taxonomy Address Enumeration
1679970859 Grace Park Chiropractor 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 2014-12-03
1710261243 Grace Eunhye Park Pharmacist 125-133 3rd Ave, New York, NY 10003-2543 2011-10-03
1164677464 Grace Jiyoung Park Family Medicine 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 2008-12-01
1619147592 Grace Lee Park Family Medicine 1109 S. Lincoln Ave., Mckinley Health Center, Urbana, IL 61801 2008-03-06
1033311634 Grace S Park Acupuncturist 7122 Bon Villa Cir, La Palma, CA 90623-1167 2007-06-05
1770551954 Grace E. Park Pharmacist 11655 Riverside Dr, North Hollywood, CA 91602-1021 2006-03-14
1639707573 Grace Park Student in an Organized Health Care Education/Training Program 400 W Mineral King Ave, Visalia, CA 93291-6237 2020-03-27
1730739152 Grace Hyeyoung Park Pharmacist 1625 N Campbell Ave, Tucson, AZ 85719-4330 2019-09-17
1407410004 Grace Park Student in an Organized Health Care Education/Training Program 1215 Lee St, Charlottesville, VA 22908-0816 2019-04-29
1275092249 Grace Eun Park Behavior Technician 3230 E Imperial Hwy Ste 203, Brea, CA 92821-1706 2019-03-18

Office Location

Street Address 1024 SW HIGHLAND DR
#A
City GRESHAM
State OR
Zip Code 97080-6353

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205945169 Jason Insoo Yoon Dentist 1024 Sw Highland Dr, #a, Gresham, OR 97080-6353 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528428554 Jeffrey Henry Lucero Social Worker 4687 Se 1st Terrace, Gresham, OR 97080 2016-03-03
1124371059 Nickole Turner Massage Therapist 2831 Se Palmquist Rd #157, Gresham, OR 97080 2012-10-16
1992061048 Russell A Wendt Pharmacist 2497 Ne Roberts Ave, Gresham, OR 97080 2012-04-03
1821385584 Angela West Counselor 320 Sw 6th Ave., Gresham, OR 97080 2011-07-01
1043543572 Natalie Dawn Wilson Behavioral Analyst 97 Sw Riverview Place, Gresham, OR 97080 2009-09-16
1427205442 Maria G Jolley Dental Hygienist 1267 Se Stapleton Loop, Gresham, OR 97080 2008-08-21
1073776738 Sabrina Joye Hindman Marriage & Family Therapist 6370 Se 26th St, Gresham, OR 97080 2008-07-03
1669676193 Kimberly Sabin Nurse Practitioner 2222 E Powell Blvd, Gresham, OR 97080 2007-06-11
1932223880 Julie Elizabeth Croshaw Pharmacist 2444 E Powell Blvd, Gresham, OR 97080 2007-03-18
1508903261 Lonetta Elise Davis Adult Companion 349 Se Plamblad, Gresham, OR 97080 2007-01-31
Find all providers in zip 97080

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124571369 Main Street Dental Dentist 810 N Main Ave, Gresham, OR 97030-5538 2016-07-23
1003298605 Ngan Hoang Dentist 670 Nw Eastman Pkwy, Gresham, OR 97030-7255 2015-06-19
1487990172 Gresham Family Dentistry, PC Dentist 501 Ne Hood Ave Ste 333, Gresham, OR 97030-7346 2012-12-27
1508184839 Mailiki L Patterson Dentist 2383 Se Meadow Ct, Gresham, OR 97080-9398 2010-05-11
1821256827 Greene & Westermeyer PC Dentist 4255 Se 182nd Ave, Gresham, OR 97030 2008-05-27
1942478904 Avenue Dental Care Dentist 1388 E Powell Blvd, Gresham, OR 97030-8004 2008-02-13
1841499696 Michael L Mckeel Dentist 108 Ne Second, Gresham, OR 97030 2007-07-12
1336352368 Jeremy E Archibald Dentist 742 Ne Division St Ste 101, Gresham, OR 97030-3979 2007-05-07
1629107123 Fredrick C. Thompson Dentist 1867 Nw Civic Dr, Gresham, OR 97030-5566 2007-03-02
1427183110 Brian L Allen Dentist 946 Ne Burnside, Gresham, OR 97030 2007-02-22
Find all providers in GRESHAM

Competitor

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City GRESHAM
Zip Code 97080

Improve Information

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Dataset Information

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.

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