Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. YOOJUN PARK, DDS
Active Sole ProprietorDR. YOOJUN PARK, DDS is a Periodontology healthcare provider located in ENGLEWOOD, New Jersey. NPI 1972910107 is currently active in the NPPES registry. Verify at CMS.
Periodontology · ENGLEWOOD, NJ
Registration Details
- NPI Number
- 1972910107
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2014 (12.075929977037 yrs)
- Last Updated
- Mar 13, 2020
- Licenses
-
22DI02573600 (NJ)057340 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401A SOUTH VAN BRUNT ST STE 205ENGLEWOOD, NJ, 076314979Browse NJ providers · Browse ZIP 07631
- Phone
- 2014082808
- Fax
- 2012270603
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in ENGLEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID KALLUS | DMD | 1942385216 |
| DR. REBECCA ILENE SUBIN-SCHNEEBAUM | D.M.D. | 1275743106 |
| GABRIEL MARTIN STRAUSS | — | 1114342730 |
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.