DR. JEEYEOUN PARK (NPI# 1982824801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982824801 |
| Entity Type | Individual |
| Full Name | DR. JEEYEOUN PARK |
| Credential | D.M.D. |
| Practice Address |
770 Reservoir Ave Cranston RI 02910-4449 |
| Practice Telephone | 4019420270 |
| Practice Fax Number | 4014649667 |
| Mailing Telephone | 4019420270 |
| Mailing Fax Number | 4014649667 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
02992 | RI | Dental Providers |
| Street Address |
770 RESERVOIR AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-4449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780092460 | Cranston Asthetic Dentistry | Dentist | 770 Reservoir Ave, Cranston, RI 02910-4449 | 2014-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| 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 |
|---|---|---|---|---|
| 1619275914 | Rhode Island Family Dental | Dentist | 465 Reservoir Ave, Cranston, RI 02910-1728 | 2011-03-10 |
| 1861669079 | Gregory R. Bender, Dmd, LLC | Dentist | 1127 Park Ave, Cranston, RI 02910-3145 | 2008-05-15 |
| 1225241953 | Stephen J Puerini Dmd and Steven J Saccoccio Dmd PC | Dentist | 115 Budlong Road, Cranston, RI 02920 | 2007-05-08 |
| 1710108089 | Daniel Vincent Tramonti Jr. | Dentist | 1908 Broad St, Cranston, RI 02905-3509 | 2007-05-02 |
| 1356562540 | Franklin Joseph Marinelli | Dentist | 111 Howard Ave., Cranston, RI 02920 | 2007-05-02 |
| 1720108129 | Steven A Fazzini Dmd Inc | Dentist | 2000 Chapel View Blvd, Suite #370, Cranston, RI 02920-3078 | 2007-03-30 |
| 1508900051 | Clayton G. Hazelton Dmd PC | Dentist | 1029 Reservoir Ave, Cranston, RI 02910-5134 | 2007-02-17 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| 1871640268 | John Salvatore Carroccia | Dentist | 136 Phenix Ave, Cranston, RI 02920-4259 | 2007-01-05 |
| 1760548333 | Paul J. Matrullo | Dentist | 1280 Park Ave, Cranston, RI 02910-3033 | 2006-12-28 |
| Find all providers in CRANSTON | ||||
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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.