Park, Aaron
Park, Aaron is an sole proprietor health care provider with primary practice located at 1107 S Fifth St Ste 250 , Mebane NC 27302-9896. He recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Park, Aaron can be contacted via phone (919) 563-2873.Contact Information
Primary practice address
1107 S Fifth St Ste 250
Mebane NC 27302-9896
Phone: (919) 563-2873
Fax: (919) 563-2876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 052778 | New York |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 2017-02466 | North Carolina |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 269639 | New York |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9268 | North Carolina |
Profile Details
| NPI number | 1861686875 |
|---|---|
| LBN Legal business name | Park, Aaron |
| Credentials | D.D.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2007 |
| Last updated | Nov 22nd, 2017 - about 7 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 | 1861686875 | NPPES |
| North Carolina | MEDICAID | 5919946 | |
| North Carolina | MEDICAID | 02888484 |
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