Min Sun Park, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

058455 Issued in NY

Practice address

All About Smiles Pediatric Dentistry
5036 Jericho Turnpike Suite #307
Commack, NY 11725

Phone

(631) 486-6220

NPI assigned

Jul 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1376927459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALL ABOUT SMILES PEDIATRIC DENTISTRY",
            "address_2": "5036 JERICHO TURNPIKE SUITE #307",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-486-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALL ABOUT SMILES PEDIATRIC DENTISTRY",
            "address_2": "5036 JERICHO TURNPIKE SUITE #307",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-486-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MIN SUN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "058455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Patricia Panzarino, MA
• Gregory A Papadopoulos, DC
• Jason Ian Pape, D.C., C.C.S.P.
• Sophia Rose Parisi, LMHC
• Tracey Parisi, RN
• Vivian Park, PHARM.D.
• Cinceria Geraldine Parkinson
• Joy Parmet, LCSW
• Kelly Donna Parsley
• Agnieszka Katarzyna Pas

• Pediatric Dentistry in Commack, NY
• Providers in Commack, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.