Park, Julius
Park, Julius is an sole proprietor health care provider with primary practice located at 1816 Eagle Dr 200-C, Woodstock GA 30189-8272. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Park, Julius can be contacted via phone (770) 926-9260.Contact Information
Primary practice address
1816 Eagle Dr 200-C
Woodstock GA 30189-8272
Phone: (770) 926-9260
Fax: (770) 926-9263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 22DI02198100 | New Jersey |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 050223 | New York |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN013851 | Georgia |
Profile Details
| NPI number | 1710022942 |
|---|---|
| LBN Legal business name | Park, Julius |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Sep 22nd, 2010 - about 15 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 | 1710022942 | NPPES |
| New York | MEDICAID | 02731033 |
Popular Providers
-
Coulter, Charles Oakley
2230 Towne Lake Parkway Building 1300 Suite 100, Woodstock GA 30189 -
Strole, D. Gordon
3550 Hulen St Ste C, Fort Worth TX 76107-6885 -
Chang, Ohkyoung
2230 Towne Lake Parkway Bldg 1300, Ste 100, Woodstock GA 30189 -
Mutschler, Mark
13908 Se Stark St Ste C, Portland OR 97233-2161 -
Patel, Kunjan
2230 Towne Lake Pkwy Bldg 1300 Suite 100, Woodstock GA 30189-5540 -
Petty, Allison Glenn
1816 Eagle Dr Ste 200-C , Woodstock GA 30189-8274 -
Malhotra, Menka
2230 Towne Lake Parkway Building 1300, Ste 100, Woodstock GA 30189-5524 -
Kerlan, Daniel L
2230 Towne Lake Parkway Bldg 1300, Ste 100, Woodstock GA 30189