Park Dental Solutions, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401412589 Issued in VA

Legal business name

PARK DENTAL SOLUTIONS, PC

Practice address

1175 Franklin St
Rocky Mount, VA 24151-1248

Phone

(540) 483-7577

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Young C Park, DDS

Title

Owner/President

Phone

(540) 492-0893

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Richard Burt, D.D.S.

  • General Practice Dentistry
  • Rocky Mount, VA
  • NPI 1033243027
  NPD (past)
• Richa Mehta, DDS

  • General Practice Dentistry
  • Rocky Mount, VA
  • NPI 1255825949
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1639626492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 FRANKLIN ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 FRANKLIN ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511248",
            "telephone_number": "540-483-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "540-492-0893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401412589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Jordan O'Neil
• Olumide A.E Ojeifo, MD
• Rick H Orange, RPH
• Kaitlyn Pace
• Deanna Nicole Palatucci
• Jalpa Patel
• Pathways Wellness LLC
• Jordan Curtis Patterson, MA, BCBA
• Douglas Glenn Payne, DC
• Brittany Pedigo

• Dental Clinic/Center in Rocky Mount, VA
• Providers in Rocky Mount, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.