Park, Julius
Park, Julius is an sole proprietor health care provider with primary practice located at 1816 Eagle Dr 200-C, Woodstock GA 30189-8272. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Park, Julius can be contacted via phone (770) 926-9260.Contact Information
Primary practice address
1816 Eagle Dr 200-C
Woodstock GA 30189-8272
Phone: (770) 926-9260
Fax: (770) 926-9263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 22DI02198100 | New Jersey |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 050223 | New York |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN013851 | Georgia |
Profile Details
| NPI number | 1710022942 |
|---|---|
| LBN Legal business name | Park, Julius |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Sep 22nd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710022942 | NPPES |
| New York | MEDICAID | 02731033 |
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