Dr. Earl P Park
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
2000 6th Ave S
Birmingham
, Alabama 35233-2110
Dr. Earl P Park
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
2000 6th Ave S
Birmingham
, Alabama 35233-2110
(205) 731-9701
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Earl P Park
- Po Box 55310
- Birmingham, AL
- Zip : 35255-5310
- Phone : (205) 731-9701
Second Address
- Dr. Earl P Park
- 2000 6th Ave S
- Birmingham, AL
- Zip : 35233-2110
- Phone : (205) 934-9999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | RESTRICTED | LA |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 35601 | AL |
National Provider Identifier
| NPI | 1558659698 |
|---|---|
| Provider Name | Dr. Earl P Park |
| First Address | Birmingham, AL 35255-5310 |
| Second Address | Birmingham, AL 35233-2110 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2011 |
| Last Update Date | 28/07/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.