Provider Demographics
NPI:1417053265
Name:HOPEWELL ORTHODONTICS, P.C.
Entity type:Organization
Organization Name:HOPEWELL ORTHODONTICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HYUN
Authorized Official - Middle Name:K
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:845-221-7700
Mailing Address - Street 1:2603 ROUTE 52
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-3215
Mailing Address - Country:US
Mailing Address - Phone:845-221-7700
Mailing Address - Fax:845-227-7971
Practice Address - Street 1:2603 ROUTE 52
Practice Address - Street 2:SUITE E
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-3215
Practice Address - Country:US
Practice Address - Phone:845-221-7700
Practice Address - Fax:845-227-7971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty