Park Dental Group - Tupelo Pllc

LBN: Park Dental Group - Tupelo Pllc
Park Dental Group - Tupelo Pllc is an health care organization with primary practice located at 3999 N Gloster St Ste D , Tupelo MS 38804-0950. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Park Dental Group - Tupelo Pllc can be contacted via phone (662) 778-2002, or through Park, Young Chan via phone (662) 778-2002.

Contact Information

Primary practice address
3999 N Gloster St Ste D Tupelo MS 38804-0950
Phone: (662) 778-2002
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, Young Chan
Phone: (662) 778-2002

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1528722709
LBN Legal business name Park Dental Group - Tupelo Pllc
DBA Doing business as
Authorized official Park, Young Chan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2021
Last updated Jun 21st, 2023 - about 3 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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