Park Dental Group Seabrook PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3396 Issued in NH

Legal business name

PARK DENTAL GROUP SEABROOK PLLC

Doing business as

Aspen Dental

Practice address

652 Lafayette Rd
Seabrook, NH 03874-4213

Phone

(603) 760-7119

NPI assigned

Jul 16, 2014

Last updated

Jul 16, 2014By 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

Young Park, DMD

Title

Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental 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.

• Thomas Kim

  • General Practice Dentistry
  • Seabrook, NH
  • NPI 1801571021
  NPD (past)

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1356758932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 LAFAYETTE RD",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744213",
            "telephone_number": "603-760-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL GROUP SEABROOK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-454-6000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Anne Nadworny, BS RPH
• Northstar Psychiatric Health PLLC
• Optometric Providers of New Hampshire, PLLC (Visionworks)
• Paula Torres Ortiz
• Owascoag Emergency Physicians LLC
• Bhavya Patel, DMD
• Peak Performance Medicine PLLC
• Pinnacle Rehabilitation Network, LLC (Hampton Physical Therapy of Seabrook)
• Andrea Powell, DPT
• Proex Physical Therapy, LLC

• General Practice Dentistry in Seabrook, NH
• Providers in Seabrook, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.