Samuel Park is a Tinker Afb, Oklahoma 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 Samuel Park is 0401417587 for Dentistry in Virginia. His current practice location is 7050 Air Depot Blvd Bldg 1094, Tinker Afb. Patients can reach him at 954-290-7165.
Samuel 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:
Samuel 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:
Samuel Park
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
7050 Air Depot Blvd Bldg 1094, Tinker Afb, Oklahoma, 73145-8716
Phone:
954-290-7165
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:
1609448646
NPI Enumeration Date:
10 Jul, 2021
NPI Last Update On:
24 Nov, 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 Samuel Park are as mentioned below.
License Number
Specialization
State
Status
0401417587
Dentistry
Virginia
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:
5306 Tractor Ln, Fairfax, Virginia
Zip:
22030-7239
Phone Number:
954-290-7165
Patients can reach Samuel Park at 7050 Air Depot Blvd Bldg 1094, Tinker Afb, Oklahoma or can call to book an appointment on 954-290-7165. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.