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Joseph Park

Pediatric Dentist

2000 Harbor Blvd Ste B100
Costa Mesa , California 92627-2601

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Image

Joseph Park

Pediatric Dentist

2000 Harbor Blvd Ste B100
Costa Mesa , California 92627-2601

(949) 281-6784

Write a Review Save Call

Joseph Park

Pediatric Dentist

2000 Harbor Blvd Ste B100
Costa Mesa , California 92627-2601

(949) 281-6784 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Dentist

Languages spoken

  • English

Location

2000 Harbor Blvd Ste B100 Costa Mesa , California 92627-2601

First Address

  • Joseph Park
  • 2000 Harbor Blvd Ste B100
  • Costa Mesa, CA
  • Zip : 92627-2601
  • Phone : (949) 281-6784

Second Address

  • Joseph Park
  • 2000 Harbor Blvd Ste B100
  • Costa Mesa, CA
  • Zip : 92627-2601
  • Phone : (949) 429-4873

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FAQs


Where did Joseph Park attend graduate school?

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Where did Joseph Park do his residency?

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Where did Joseph Park do his fellowship?

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Is Joseph Park board certified?

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What type of doctor is Joseph Park

Pediatric Dentist

In what state does Joseph Park practice in?

California

Where is Joseph Park ’s practice located?

2000 Harbor Blvd Ste B100 , Costa Mesa, California, 92627-2601

What is Joseph Park ’s gender?

Male

Is Joseph Park a sole practitioner?

No

Is Joseph Park accepting new patients?

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What languages does Joseph Park speak?

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Does Joseph Park accept insurance?

Yes, Joseph Park accepts insurance

Does Joseph Park offers telemedicine?

Joseph Park has not indicated if he offers telemedicine

What is Joseph Park ’s professional license number?

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What is Joseph Park ’s NPI number?

1053713156

Does Joseph Park have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0221X Pediatric Dentist 64009 CA

National Provider Identifier

NPI 1053713156
Provider Name Joseph Park
First Address Costa Mesa, CA 92627-2601
Second Address Costa Mesa, CA 92627-2601
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 19/09/2014
Last Update Date 26/07/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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