John Juwon Park
Pediatric Dentist
4 Executive Park Dr
Albany
, New York 12203
John Juwon Park
Pediatric Dentist
4 Executive Park Dr
Albany
, New York 12203
(347) 408-8673
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- John Juwon Park
- 255 Patroon Creek Blvd Apt 1405
- Albany, NY
- Zip : 12206-5019
- Phone : (347) 408-8673
Second Address
- John Juwon Park
- 4 Executive Park Dr
- Albany, NY
- Zip : 12203
- Phone : (347) 408-8673
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 056491 | NY |
National Provider Identifier
| NPI | 1083866982 |
|---|---|
| Provider Name | John Juwon Park |
| First Address | Albany, NY 12206-5019 |
| Second Address | Albany, NY 12203 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/10/2008 |
| Last Update Date | 17/05/2018 |
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.