Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JIN-SIR PARK, D.D.S
ActiveDR. JIN-SIR PARK, D.D.S is a Endodontics healthcare provider located in HACKETTSTOWN, New Jersey. NPI 1730364068 is currently active in the NPPES registry. Verify at CMS.
Endodontics · HACKETTSTOWN, NJ
Registration Details
- NPI Number
- 1730364068
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2008 (18.620460214462 yrs)
- Last Updated
- Mar 16, 2009
- License
-
22DI02177900 (NJ)
Practice Information
- Address
-
254B MOUNTAIN AVESUITE 206HACKETTSTOWN, NJ, 078402413Browse NJ providers · Browse ZIP 07840
- Phone
- 9088506300
- Fax
- 9088506399
- Primary Specialty
-
Endodontics
1223E0200X
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.