Haeri Park, DMD

General Practice Dentistry · Eastpointe, MI

Individual Active NPI

NPI number 1073006102

Practice location

22541 Gratiot Ave
Eastpointe, MI 48021-2360
Phone
(586) 777-0001

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NPI record

NPI
1073006102
Entity type
Individual (Type 1)
Enumeration date
June 13, 2018
Last updated
June 13, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901022710 MI

Mailing address

350 N Clark St Fl 6
Chicago, IL 60654-4712

About Dr. Park

Haeri Park, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 22541 Gratiot Ave, Eastpointe, MI 48021-2360. The NPI number 1073006102 was assigned on June 13, 2018 and the record was last updated on June 13, 2018.

Dr. Park lists a license in the registry: #2901022710 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Haeri Park, DMD?

The NPI number is 1073006102.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (586) 777-0001.

Where is Dr. Park located?

22541 Gratiot Ave, Eastpointe, MI 48021-2360.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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