Park and Ghorbanian DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE7278 Issued in WA

Legal business name

PARK AND GHORBANIAN DDS, PLLC

Practice address

276 East Main Street
Monroe, WA 98272

Phone

(360) 794-0717

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Hyun S Park, DDS

Title

Member Dentist

Phone

(360) 794-0717

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Dental of Monroe Doing business as

Locations

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1245463272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 EAST MAIN STREET",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "360-794-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 EAST MAIN STREET",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "360-794-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AND GHORBANIAN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER DENTIST",
        "authorized_official_telephone_number": "360-794-0717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE7278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental of Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Landree Anne Owens
• Haley Jewel Packer, LMT
• Jarryd Page, DC
• Diana Pak, PHARM.D
• April M Palmer, LAC
• Derek Park, DDS
• Robert K Park, D.D.S.
• Dusayant Patel, DMD
• Poonam Patel
• Kristi Patricelli, LMP

• General Practice Dentistry in Monroe, WA
• Providers in Monroe, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.