Park, Joseph Won-Joon
Park, Joseph Won-Joon is an individual health care provider with primary practice located at 1755 Saint Julian Pl , Columbia SC 29204-2409. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Park, Joseph Won-Joon can be contacted via phone (803) 254-2972.Contact Information
Primary practice address
1755 Saint Julian Pl
Columbia SC 29204-2409
Phone: (803) 254-2972
Fax: (803) 799-2151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3613 | South Carolina |
Profile Details
| NPI number | 1205813227 |
|---|---|
| LBN Legal business name | Park, Joseph Won-Joon |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1205813227 | NPPES |
| South Carolina | MEDICAID | ZX3613 |
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