Geonwoong Park is a Peoria, Illinois 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 Geonwoong Park is 019035398 for General Practice Dentistry in Illinois. His current practice location is 5116 N Big Hollow Rd Ste 101, Peoria. Patients can reach him at 315-454-6000.
Geonwoong 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:
Geonwoong 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:
Geonwoong Park
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
5116 N Big Hollow Rd Ste 101, Peoria, Illinois, 61615-3514
Phone:
315-454-6000
Fax:
866-803-4943
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:
1659109163
NPI Enumeration Date:
25 Jul, 2024
NPI Last Update On:
25 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Geonwoong Park are as mentioned below.
License Number
Specialization
State
Status
019035398
General Practice Dentistry
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
661 Harding Rd Apt 203e, Morton, Illinois
Zip:
61550-9318
Phone Number:
323-428-6575
Patients can reach Geonwoong Park at 5116 N Big Hollow Rd Ste 101, Peoria, Illinois or can call to book an appointment on 315-454-6000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.