Provider Demographics
NPI:1518590918
Name:ALL COUNTY ENDODONTICS, PC
Entity Type:Organization
Organization Name:ALL COUNTY ENDODONTICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOON
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-768-9017
Mailing Address - Street 1:112 WESTMINSTER RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2425
Mailing Address - Country:US
Mailing Address - Phone:914-768-9017
Mailing Address - Fax:914-874-5249
Practice Address - Street 1:112 WESTMINSTER RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2425
Practice Address - Country:US
Practice Address - Phone:914-768-9017
Practice Address - Fax:914-874-5249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty