Park, Eric
Park, Eric is an individual health care provider with primary practice located at 4935 Stewart Mill Rd Suite 200, Douglasville GA 30135-6733. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Park, Eric can be contacted via phone (770) 627-3042.Contact Information
Primary practice address
4935 Stewart Mill Rd Suite 200
Douglasville GA 30135-6733
Phone: (770) 627-3042
Fax: (770) 627-3243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 012946 | Georgia |
Profile Details
| NPI number | 1144452830 |
|---|---|
| LBN Legal business name | Park, Eric |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2009 |
| Last updated | Nov 5th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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