Park, Joseph
Park, Joseph is an individual health care provider with primary practice located at Womack Army Medical Center , Fort Bragg NC 28310-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Park, Joseph can be contacted via phone (910) 907-6000.Contact Information
Primary practice address
Womack Army Medical Center
Fort Bragg NC 28310-0001
Phone: (910) 907-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 13022 | North Carolina |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 13022 | North Carolina |
Profile Details
| NPI number | 1639532104 |
|---|---|
| LBN Legal business name | Park, Joseph |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2016 |
| Last updated | Mar 3rd, 2023 - about 3 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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