Jill Park

General Practice Dentistry · Fall River, MA

Individual Active NPI

NPI number 1124389606

Practice location

45 Mariano Bishop Blvd
Fall River, MA 02721-2346
Phone
(781) 580-9081

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NPI record

NPI
1124389606
Entity type
Individual (Type 1)
Enumeration date
May 31, 2012
Last updated
May 31, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN1855958 MA

Mailing address

400 Technology Center Dr
Apt #4209
Stoughton, MA 02072-4714
Phone
(781) 580-9081

About Jill Park

Jill Park is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 45 Mariano Bishop Blvd, Fall River, MA 02721-2346. The NPI number 1124389606 was assigned on May 31, 2012 and the record was last updated on May 31, 2012.

Jill Park lists a license in the registry: #DN1855958 (MA) 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 Jill Park?

The NPI number is 1124389606.

What is the phone number of Jill Park?

The phone number listed for the practice location is (781) 580-9081.

Where is Jill Park located?

45 Mariano Bishop Blvd, Fall River, MA 02721-2346.

What is the taxonomy code for Jill 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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