Provider Demographics
NPI:1881790269
Name:PARK, HYUN K (DMD)
Entity type:Individual
Prefix:DR
First Name:HYUN
Middle Name:K
Last Name:PARK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 ROUTE 52
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-3215
Mailing Address - Country:US
Mailing Address - Phone:845-221-7700
Mailing Address - Fax:845-227-7971
Practice Address - Street 1:2603 ROUTE 52
Practice Address - Street 2:SUITE E
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-3215
Practice Address - Country:US
Practice Address - Phone:845-221-7700
Practice Address - Fax:845-227-7971
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048635-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics