Chan M. Park, D.D.S., M.D., Pc And Benjamin R. Shimel, D.D.S., Pc A Pa

LBN: Chan M. Park, D.D.S., M.D., Pc And Benjamin R. Shimel, D.D.S., Pc A Pa
Chan M. Park, D.D.S., M.D., Pc And Benjamin R. Shimel, D.D.S., Pc A Pa is an health care organization with primary practice located at 111 Deerwood Rd Ste 130 , San Ramon CA 94583-2194. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Chan M. Park, D.D.S., M.D., Pc And Benjamin R. Shimel, D.D.S., Pc A Pa can be contacted via phone (925) 217-4884, or through Park, Chan M via phone (925) 217-4884.

Contact Information

Primary practice address
111 Deerwood Rd Ste 130 San Ramon CA 94583-2194
Phone: (925) 217-4884
Fax: (925) 217-4895
Website:
Map and Directions
Authorized official contact:
Name: Park, Chan M MD, DDS
Phone: (925) 217-4884

Health care specialties

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

Profile Details

NPI number 1124660014
LBN Legal business name Chan M. Park, D.D.S., M.D., Pc And Benjamin R. Shimel, D.D.S., Pc A Pa
DBA Doing business as
Authorized official Park, Chan M MD, DDS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2019
Last updated Oct 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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