Advanced Oral Rehabilitaion
NPI 1164781746ActiveOrganization· Dentist, General Practice· Newark Nj, NJ
Dentist, General Practice in Newark Nj, New Jersey, registered in NPPES in May 2012. The authorized official on file is Woo Il Steven Park, DDS, Dentist.
Overview
| NPI | 1164781746 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2012 |
| Last updated in NPPES | May 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 22DI02324700 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|