Park, Joseph Won-Joon

Park, Joseph Won-Joon is an individual health care provider with primary practice located at 1755 Saint Julian Pl , Columbia SC 29204-2409. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Park, Joseph Won-Joon can be contacted via phone (803) 254-2972.

Contact Information

Primary practice address
1755 Saint Julian Pl Columbia SC 29204-2409
Phone: (803) 254-2972
Fax: (803) 799-2151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3613 South Carolina

Profile Details

NPI number 1205813227
LBN Legal business name Park, Joseph Won-Joon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205813227 NPPES
South Carolina MEDICAID ZX3613

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