Park Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARK DENTISTRY, LLC

Doing business as

Maffett and Park Dentistry

Practice address

207 Dart Dr
Hanover, PA 17331-1322

Phone

(717) 632-3217

NPI assigned

Mar 21, 2019

Last updated

Mar 21, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hyang Min Park, DMD

Title

DMD

Phone

(703) 853-9480

Specialties & licenses 1

Addresses

Other names 1

• Maffett and Park Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William L Maffett, DMD MAGD

  • General Practice Dentistry
  • Hanover, PA
  • NPI 1730255928
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1053871418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 DART DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311322",
            "telephone_number": "717-632-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 DART DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311322",
            "telephone_number": "717-632-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HYANG",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "703-853-9480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maffett and Park Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Ann Owings
• Kulin N Oza, MD
• William Padoll, PT
• Ashley Palmer, DPT
• Michael J Paris, DPM
• Brian McClain Parker, DDS
• Thomas David Passarelli, O.D.
• Ankur Patel, MD
• Neelam Patel, M.D.
• Nikunj Prafulbhai Patel, M.D

• Dental Clinic/Center in Hanover, PA
• Providers in Hanover, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.