| Dr Jintae Park, DDS | |
|
6795 S Virginia St, E, Reno, NV 89511-1171 | |
| (775) 853-0503 | |
| (775) 853-0504 |
| Full Name | Dr Jintae Park |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 6795 S Virginia St, Reno, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629110747 | NPI | - | NPPES |
| D54686 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54686 (California) | Secondary |
| 122300000X | Dentist | 5678 (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jintae Park, DDS 815 Kiley Ranch Pkwy, 2901, Sparks, NV 89436-4066 Ph: (626) 434-6150 | Dr Jintae Park, DDS 6795 S Virginia St, E, Reno, NV 89511-1171 Ph: (775) 853-0503 |
Gerald M York, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 855 W 7th St, Suite #5, Reno, NV 89503 Phone: 775-322-5016 Fax: 775-329-0510 | |
Dr. Peggy D. Preston, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3502 S Virginia St, Suite A4, Reno, NV 89502 Phone: 775-827-8808 Fax: 775-827-9297 | |
Dr. Nicole Michelle Stoker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3701 Baker Ln Ste 1, Reno, NV 89509 Phone: 775-825-1000 Fax: 775-826-3030 | |
Megan Archer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10595 Double R Blvd, Reno, NV 89521 Phone: 775-825-8463 | |
Monica Tricia Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6350 Mae Anne Ave, Ste #1, Reno, NV 89523 Phone: 775-787-2600 | |
Dr. Jason L Sala, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4875 Summit Ridge Drive, Reno, NV 89523 Phone: 775-322-2061 Fax: 775-322-2065 | |
Dr. Derek Lyle Johnson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 175 Brinkby Ave, Reno, NV 89509 Phone: 775-825-9225 |