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NPI Code Detail

MEDICARE: HOPEWELL ORTHODONTICS, P.C.

MEDICARE: HOPEWELL ORTHODONTICS, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1417053265
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPEWELL ORTHODONTICS, P.C.
Provider Business Mailing Address
First Line : 2603 ROUTE 52
Second Line : SUITE E
City : HOPEWELL JUNCTION
State : NY
Zip : 12533-3215
Country : US
Telephone Number : 845-221-7700
Fax Number : 845-227-7971
Provider Business Practice Location Address
First Line : 2603 ROUTE 52
Second Line : SUITE E
City : HOPEWELL JUNCTION
State : NY
Zip : 12533-3215
Country : US
Telephone Number : 845-221-7700
Fax Number : 845-227-7971
Authorized Official
Title or Position : ORTHODONTIST/PARTNER
Name : HYUN K PARK
Credential : DMD
Telephone Number : 845-221-7700
Provider Enumeration Date : 09/16/2006
Last Update Date : 08/22/2020

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Directions to “HOPEWELL ORTHODONTICS, P.C. ” Practice Location

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