W.W. Park, D.M.D., P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS030803L Issued in PA

Legal business name

W.W. PARK, D.M.D., P.C.

Doing business as

OoLi Orthodontics

Practice address

1333 W Cheltenham Ave
Suite #202
Elkins Park, PA 19027-3140

Phone

(215) 782-8330

Fax

(215) 782-3266

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Won-Woo Park, D.M.D.

Title

President

Phone

(215) 782-8330

Specialties & licenses 1

Addresses

Other names 1

• OoLi Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1144422239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W BROOKHAVEN RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866339",
            "telephone_number": "215-782-8330",
            "fax_number": "215-782-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W CHELTENHAM AVE",
            "address_2": "SUITE #202",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273140",
            "telephone_number": "215-782-8330",
            "fax_number": "215-782-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.W. PARK, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "WON-WOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-782-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS030803L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OoLi Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.