Dental Park of McAllen2, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL PARK OF MCALLEN2, PLLC

Doing business as

Dental Park

Practice address

3300 N McColl Rd Ste M
McAllen, TX 78501-5693

Phone

(718) 309-1121

NPI assigned

Jan 6, 2018

Last updated

Jan 6, 2018By 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

Youngsil Jo, DDSNPI 1457767618

Title

Member

Phone

(718) 309-1121

Specialties & licenses 1

Addresses

Other names 1

• Dental Park 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.

• Young Sil Jo

  • General Practice Dentistry
  • McAllen, TX
  • NPI 1457767618
  NPD (past) Authorized official

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515196800000",
    "number": "1346757713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 WILDROSE LN APT 1",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207896",
            "telephone_number": "718-309-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N MCCOLL RD STE M",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015693",
            "telephone_number": "718-309-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PARK OF MCALLEN2, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-06",
        "last_updated": "2018-01-06",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "YOUNGSIL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-309-1121",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise's Homecare LLC
• Vianey Dennett, PA-C
• Jesus Bogar Denny
• Dental Park 4 PLLC (Children's Dental Center)
• Dental Park of McAllen1, PLLC (Dental Park)
• Dentistry of Brownsville, PC (Elstar Dental)
• Lenore Celeste Depagter, DO
• Dept of Assistive & Rehab Serv - McAllen Field Office
• Nayiri Arpy Derian, MD
• John Darnell Deroulac, PTA

• General Practice Dentistry in McAllen, TX
• Providers in McAllen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2018; 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.