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PARK DENTAL ASSOCIATES P.C.
NPI 1164709093
Dentist - Prosthodontics in Philadelphia, PA

Active since November 06, 2011
1512 SANSOM ST, #300, PHILADELPHIA, PA 19102(215) 564-0717(215) 564-5450 Get Directions Write a Review

NPPES record last updated: November 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Dental Associates P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK DENTAL ASSOCIATES P.C. (NPI 1164709093) is a healthcare organization registered as a prosthodontics in Philadelphia, Pennsylvania and active in the NPI registry since November 2011. The organization lists Yeun-june Park, President/prosthodontist, as its authorized official.

NPPES Registry Identity

NPI1164709093
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NamePARK DENTAL ASSOCIATES P.C.
Location Address1512 SANSOM ST, #300Philadelphia, PA 19102-2809
Mailing Address1512 Sansom St, #300Philadelphia, PA 19102-2809 · (215) 564-0717 · Fax (215) 564-5450
Phone(215) 564-0717
Fax(215) 564-5450
Organization SubpartNo
Authorized OfficialYeun-june ParkPresident/prosthodontist · (215) 564-0717
Enumeration DateNovember 6, 2011
✔ NPI 1164709093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in PA · DS035815
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
1512 SANSOM ST, Philadelphia, PA 19102
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA G JOHNSON DMD
Dentist (General Practice)
1512 SANSOM ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 564-0717
YEUN-JUNE PARK DMD, MSD
Dentist (Prosthodontics)
1512 SANSOM ST, #300
PHILADELPHIA, PA 19102
Philadelphia County (215) 564-0717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Dental Associates P.C.'s NPI number?

The NPI number for Park Dental Associates P.C. is 1164709093. It was assigned to this organization in the NPPES registry on November 6, 2011.

Where is Park Dental Associates P.C. located?

Park Dental Associates P.C. is located at 1512 Sansom St #300, Philadelphia, PA 19102. The listed phone number is (215) 564-0717.

What is Park Dental Associates P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Park Dental Associates P.C. was last updated on November 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.