SOO KYEONG PARK DENTIST(DMD)
NPI 1821721549
Dentist - General Practice in Madison, NJ

NPI Status: Active since July 08, 2022

Contact Information

120 PARK AVE
MADISON, NJ
ZIP 07940
Phone: (973) 377-7088
Fax: (973) 377-4722

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  • Individual
  • Female
  • Dentist
  • General Practice

About SOO KYEONG PARK

This page provides the complete NPI Profile along with additional information for Soo Kyeong Park, a provider established in Madison, New Jersey with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1821721549 assigned on July 2022. The practitioner's primary taxonomy code is 1223G0001X with license number 17486 (MD). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1821721549
Provider Name
SOO KYEONG PARK DENTIST(DMD)
Gender
Female
Entity Type
Individual
Location Address
120 PARK AVE MADISON, NJ 07940
Location Phone
(973) 377-7088
Location Fax
(973) 377-4722
Mailing Address
311 E 38TH ST APT 3F NEW YORK, NY 10016
Mailing Phone
(347) 944-7533
Is Sole Proprietor?
Yes
Enumeration Date
07-08-2022
Last Update Date
10-10-2024
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A dentist like Soo Kyeong Park is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
17486
License State
MD
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821721549
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841142258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 1 + 4 + 2 + 2 + 5 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1821721549 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376882324NORTH JERSEY MAXILLO-FACIAL SERVICES LLC
Organization
Specialist120 PARK AVE
MADISON, NJ 07940
(973) 377-7088
1356466759DR. SAMUEL ROMANO D.M.D.
Individual
Dentist (General Practice)120 PARK AVE
MADISON, NJ 07940
(973) 377-7088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821721549, enumerated in the NPI registry as an "individual" on July 08, 2022

The provider is located at 120 Park Ave Madison, Nj 07940 and the phone number is (973) 377-7088

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on July 08, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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