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Joseph Park, DDS, MD

NPI 1639532104ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Fort Bragg, NC

Dentist, Oral and Maxillofacial Surgery (DDS, MD) in Fort Bragg, North Carolina, licensed in NC, with an NPI issued in April 2016. Part D covered 101 prescriptions written in 2024, 100% of them generic. Kls-Martin L.P. reported $110.01 in payments in 2025, mostly food and beverage.

Overview

NPI1639532104
StatusActive
Entity typeIndividual
CredentialDDS, MD
Sole proprietorNo
NPI issuedApr 1, 2016
Last updated in NPPESDec 8, 2025
Certified by providerDec 8, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Oral and Maxillofacial Surgery Primary1223S0112X13022NC
Oral & Maxillofacial Surgery204E00000X13022NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Oral Surgery (AL)

Part D prescriptions in 2024

Prescriptions (claims)101 · 103 30-day fills
Patients33
Total drug cost$407.39
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$110.01 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Kls-Martin L.P.$110.011

What the 2025 payments were for

  • Food and Beverage$110.01 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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