Dr Joseph Won-joon Park, DMD | |
1755 Saint Julian Pl, Columbia, SC 29204-2409 | |
(803) 254-2972 | |
(803) 799-2151 |
Full Name | Dr Joseph Won-joon Park |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 25 Years |
Location | 1755 Saint Julian Pl, Columbia, South Carolina |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205813227 | NPI | - | NPPES |
ZX3613 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3613 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midlands Oral And Maxillofacial Surgery | 7315970365 | 4 |
Entity Name | Midlands Oral And Maxillofacial Surgery |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386699288 PECOS PAC ID: 7315970365 Enrollment ID: O20050912000503 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Won-joon Park, DMD 1755 Saint Julian Pl, Columbia, SC 29204-2409 Ph: (803) 254-2972 | Dr Joseph Won-joon Park, DMD 1755 Saint Julian Pl, Columbia, SC 29204-2409 Ph: (803) 254-2972 |
Dr. Christopher Robnett, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 122 N Brickyard Rd, Columbia, SC 29223 Phone: 803-736-1024 Fax: 803-699-3284 | |
Katelyn Nevitt, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 460 W Killian Rd, Columbia, SC 29203 Phone: 803-814-0102 | |
Dr. Deidre Berger Crockett, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5251 Forest Dr, Columbia, SC 29206 Phone: 803-787-9793 Fax: 803-738-0300 | |
Dr. Howard Stone Denny Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5211 N Trenholm Rd, Columbia, SC 29206 Phone: 803-782-0965 Fax: 803-782-3404 | |
Me'chell Littatta James, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3000 Two Notch Rd, Columbia, SC 29204 Phone: 803-691-9930 Fax: 803-691-9322 | |
Dr. Sarah Anne H Knowlton, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3731 Forest Dr, Columbia, SC 29204 Phone: 803-782-8786 | |
Dr. Louis Roncaglione, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1320 Elmtree Rd, Columbia, SC 29209 Phone: 803-783-9900 |