| Dr Paul J Park, DMD | |
|
2601 Clarke Ave, Fort Gregg-adams, VA 23801 | |
| (804) 734-9747 | |
| Not Available |
| Full Name | Dr Paul J Park |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2601 Clarke Ave, Fort Gregg-adams, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306491261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401419061 (Virginia) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0438000506 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul J Park, DMD 2601 Clarke Ave, Fort Gregg-adams, VA 23801 Ph: (804) 734-9607 | Dr Paul J Park, DMD 2601 Clarke Ave, Fort Gregg-adams, VA 23801 Ph: (804) 734-9747 |
Dr. Kristianne Norma Sinclair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2601 Clarke Avenue, Building 8204, Fort Gregg-adams, VA 23801 Phone: 804-734-9607 | |
Mersedes S. Jackson, DDS Dentist Medicare: Medicare Enrolled Practice Location: Kenner Army Health Clinic, 700 24th Street, Fort Gregg-adams, VA 23801 Phone: 804-734-5365 |