Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SALLY PARK, D.D.S., M.S.D.
Active Sole ProprietorDR. SALLY PARK, D.D.S., M.S.D. is a Orthodontics healthcare provider located in WAYNE, New Jersey. NPI 1417145160 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · WAYNE, NJ
Registration Details
- NPI Number
- 1417145160
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2007 (18.803554489421 yrs)
- Last Updated
- Oct 9, 2007
- License
-
22D102133200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 ALPS RDWAYNE, NJ, 074703635Browse NJ providers · Browse ZIP 07470
- Phone
- 9736965220
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in WAYNE, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. LAWRENCE ALAN PIEKARSKY | D.M.D. | 1902975378 |
| DR. ELIZABETH K ELLEN | DMD | 1861532087 |
| MUHAMMAD ABEY | DDS | 1528305919 |
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.