Karen Park Family Dentistry, P.A.

LBN: Karen Park Family Dentistry, P.A.
Karen Park Family Dentistry, P.A. is an health care organization with primary practice located at 125 Medical Cir , West Columbia SC 29169-3655. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Karen Park Family Dentistry, P.A. can be contacted via phone (803) 796-2637, or through Park, James via phone (803) 796-2637.

Contact Information

Primary practice address
125 Medical Cir West Columbia SC 29169-3655
Phone: (803) 796-2637
Fax: (803) 796-5326
Website:
Map and Directions
Authorized official contact:
Name: Park, James
Phone: (803) 796-2637

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3398 South Carolina

Profile Details

NPI number 1548228521
LBN Legal business name Karen Park Family Dentistry, P.A.
DBA Doing business as
Authorized official Park, James
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
Last updated Apr 9th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548228521 NPPES
South Carolina MEDICAID ZA9865

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