Dr. Kwonil Park is a Carrollton, Texas based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kwonil Park is 25071 for General Practice Dentistry in Texas. His current practice location is 1017 E Trinity Mills Rd, Suite 102, Carrollton. Patients can reach him at 972-446-7733.
Dr. Kwonil 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. Kwonil 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. Kwonil Park
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1017 E Trinity Mills Rd, Suite 102, Carrollton, Texas, 75006-1438
Phone:
972-446-7733
Fax:
972-446-0088
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:
1740306414
NPI Enumeration Date:
22 Mar, 2007
NPI Last Update On:
11 Jan, 2011
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. Kwonil Park are as mentioned below.
License Number
Specialization
State
Status
25071
General Practice Dentistry
Texas
Primary
019026108
Dentistry
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kwonil Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1005790
Medicaid
Illinois
207002108
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1017 E Trinity Mills Rd, Suite 102 Carrollton, Texas
Zip:
75006-1438
Phone Number:
972-446-7733
Fax Number:
972-446-0088
Patients can reach Dr. Kwonil Park at 1017 E Trinity Mills Rd, Suite 102, Carrollton, Texas or can call to book an appointment on 972-446-7733. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.