Individual provider · Type 1 NPI

Cassie Park, DMD

Pediatric Dentistry · Edison, NJ

NPI number 1972178036 Active

Practice location

3900 Park Ave Ste 105
Edison, NJ 08820-3063

Call (732) 452-0100 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X22DI02843000 (NJ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1972178036

Cassie Park, DMD's National Provider Identifier is 1972178036, issued on May 21, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Edison, NJ. The record was last updated on Feb 13, 2024.