Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK PARK, DMD, MD
ActiveDR. MARK PARK, DMD, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in WESTWOOD, New Jersey. NPI 1912248683 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · WESTWOOD, NJ
Registration Details
- NPI Number
- 1912248683
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2013 (13.402123791707 yrs)
- Last Updated
- Oct 11, 2019
- Licenses
-
300173 (NY)060757 (NY)22DI02564200 (NJ)
Practice Information
- Address
-
260 OLD HOOK RD STE 202WESTWOOD, NJ, 076753123Browse NJ providers · Browse ZIP 07675
- Phone
- 3479488622
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
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.