Park Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN012810 Issued in GA

Legal business name

PARK DENTAL GROUP

Doing business as

Monroe Smile Center

Practice address

256 N Hammond Dr
Monroe, GA 30655-2475

Phone

(770) 207-0008

Fax

(770) 207-0033

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Hyun W. Park, D.D.SNPI 1881773679

Title

General Dentistry

Phone

(770) 207-0008

Specialties & licenses 1

Addresses

Other names 1

• Monroe Smile Center 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.

• Hyun W Park, DDS

  • General Practice Dentistry
  • Monroe, GA
  • NPI 1881773679
  NPD (past) Authorized official

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1235403700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N HAMMOND DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552475",
            "telephone_number": "770-207-0008",
            "fax_number": "770-207-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 N HAMMOND DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552475",
            "telephone_number": "770-207-0008",
            "fax_number": "770-207-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "GENERAL DENTISTRY",
        "authorized_official_telephone_number": "770-207-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN012810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gloria Osei
• Isaac O. Osei, MD
• Our Family Health Center
• Stephany Oviedo
• Angie Pagano, D.O.
• Hyun W Park, DDS
• Parker Dialysis LLC (Walton County Dialysis)
• Danielle Parks
• Kiley Jordan Parrish
• Anita Sims Parsons, R. PH.

• Dental Clinic/Center in Monroe, GA
• Providers in Monroe, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.