DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JOSEPH PARK DDS, MD

MEDICARE: DR. JOSEPH PARK DDS, MD
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
11223S0112XOral and Maxillofacial Surgery (Dentist)13022NC
2204E00000XOral & Maxillofacial Surgery (D.M.D.)13022NC

General Provider Information

NPI Number : 1639532104
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH PARK DDS, MD
Provider Business Mailing Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2016
Last Update Date : 12/08/2025

Similar Medicare Providers

1326760182 — KRISTINA UFIMTSEVA
Practice Location Address:
2817 ROCK MERRITT AVE , STOP A
FORT BRAGG, NC
28310-0001
Practice Phone: 910-907-8922
Practice Fax: 910-907-6069
1780665935 — JOSEPH DAVID CALLISTER PH.D.
Practice Location Address:
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
28310-0001
Practice Phone: 910-907-8922
Practice Fax: 910-907-6069
1932839255 — MR. BAYANI DILAG APRN
Practice Location Address:
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
28310-0001
Practice Phone: 910-907-8922
Practice Fax: 910-907-6069
1073372009 — JONATHAN KNAPP
Practice Location Address:
2817 ROCK MERRITT AVE
FORT BRAGG, NC
28310-0001
Practice Phone: 910-907-8116
Practice Fax:
1861548281 — ANDREW WARD BEACH PT, MS, ECS
Practice Location Address:
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
28310-0001
Practice Phone: 910-907-8922
Practice Fax: 910-907-6069
1114520319 — MICHELLE RENEE CHRISTIE LCSW
Practice Location Address:
2817 ROCK MERRITT CENTER
FORT BRAGG, NC
28310-0001
Practice Phone: 910-907-8922
Practice Fax: 910-907-6069

Directions to “ DR. JOSEPH PARK DDS, MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.