Individual
DR. EARL P PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 934-9999
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
RESTRICTED
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
35601
AL
Other
Enumeration date
07/11/2011
Last updated
07/21/2022
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