Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN J PARK, D.M.D.,M.D.
ActiveJONATHAN J PARK, D.M.D.,M.D. is a Oral & Maxillofacial Surgery healthcare provider located in FAIRFAX, Virginia. NPI 1114940905 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FAIRFAX, VA
Registration Details
- NPI Number
- 1114940905
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.013797033067 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0101221324 (VA)
Practice Information
- Address
-
10530 ROSEHAVEN STSUITE 111FAIRFAX, VA, 220302840Browse VA providers · Browse ZIP 22030
- Phone
- 7033855777
- Fax
- 7035915386
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| HENRY W. ZUSSMAN | D.D.S. | 1316967862 |
| PETER W. SMITH | D.D.S. | 1811910631 |
| JEFFREY A LANE | D.D.S. | 1346263134 |
| PATRICK J DOLAN | D.D.S. | 1760406805 |
| KIMBERLY A SILLOWAY | D.D.S. | 1790795466 |
| DR. CYRUS A RAMSEY | DMD MD | 1831399096 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.