Park, Cassie

Park, Cassie is an individual health care provider with primary practice located at 3900 Park Ave Ste 105 , Edison NJ 08820-3063. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Park, Cassie can be contacted via phone (732) 452-0100.

Contact Information

Primary practice address
3900 Park Ave Ste 105 Edison NJ 08820-3063
Phone: (732) 452-0100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 22DI02843000 New Jersey

Profile Details

NPI number 1972178036
LBN Legal business name Park, Cassie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2021
Last updated Feb 13th, 2024 - about last year

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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