National Provider Identifier
Joo Hyoung Park
Joo Hyoung Park is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Rochester, NY and a listed phone number of (585) 275-5051.
Source: public NPPES record, last updated July 15, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1659749612
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- September 08, 2015
- Last Updated
- July 15, 2021
Practice Location
- 625 Elmwood Ave
- Rochester, NY 14620-2913
Phone: (585) 275-5051
Mailing Address
- 350 N Clark St Fl 6
- Dental Dreams LLC C/O Danielle Tharp
- Chicago, IL 60654-4712
Specialties
- Pediatric Dentistry (1223P0221X)
- Dentist (122300000X)
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Full Record
- NPI
- 1659749612
- Entity Type
- Individual
- Last Name
- Park
- First Name
- Joo Hyoung
- Mailing Street Address
- 350 N Clark St Fl 6
- Mailing Address Line 2
- Dental Dreams LLC C/O Danielle Tharp
- Mailing City
- Chicago
- Mailing State
- IL
- Mailing ZIP Code
- 60654-4712
- Mailing Country
- US
- Practice Street Address
- 625 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (585) 275-5051
- Enumeration Date
- September 08, 2015
- Last Updated
- July 15, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X), Dentist (122300000X)