Dr. Hae Duk Park is a Manassas, Virginia based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Hae Duk Park is 0401410598 for General Practice Dentistry in Virginia. His current practice location is 8714 Sudley Rd, Manassas. Patients can reach him at 703-368-8166.
Dr. Hae Duk Park is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Hae Duk Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Hae Duk Park
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
8714 Sudley Rd, Manassas, Virginia, 20110-4405
Phone:
703-368-8166
Fax:
703-368-8624
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1174607832
NPI Enumeration Date:
25 Oct, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Hae Duk Park are as mentioned below.
License Number
Specialization
State
Status
0401410598
General Practice Dentistry
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Hae Duk Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0401410598
Other
Virginia
VA DENTAL LIC#
1745319
Other
Pennsylvania
UNITED CONCORDIA INS.ID
178830
Other
Virginia
ANTHEM BCBS ID #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8714 Sudley Rd, Manassas, Virginia
Zip:
20110-4405
Phone Number:
703-368-8166
Fax Number:
703-368-8624
Patients can reach Dr. Hae Duk Park at 8714 Sudley Rd, Manassas, Virginia or can call to book an appointment on 703-368-8166. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.