| Park Dental Group - Pascagoula Pllc | |
|
4001 Denny Ave Ste 1 Pascagoula MS 39581-5403 | |
| (228) 471-3970 | |
| Not Available |
| Full Name | Park Dental Group - Pascagoula Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4001 Denny Ave Ste 1, Pascagoula, Mississippi |
| Authorized Official Name and Position | Young Chan Park (OWNER) |
| Authorized Official Contact | 2284713970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Group - Pascagoula Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Park Dental Group - Pascagoula Pllc 4001 Denny Ave Ste 1 Pascagoula MS 39581-5403 Ph: (228) 471-3970 |
| NPI Number | 1730843921 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730843921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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