Provider Type Icon

REEBYE PARK & RICHMAN DDS PLC NPI 1508158940


NPI Information

NPI: 1508158940
Provider Name: REEBYE PARK & RICHMAN DDS PLC

Doing Business As: TRIANGLE IMPLANT CENTER

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1107 S FIFTH ST
SUITE 250
MEBANE, NC
ZIP 27302
Phone: (919) 237-9400
Get Directions

REEBYE PARK & RICHMAN DDS PLC is an oral and maxillofacial surgery dentist in Mebane, NC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. REEBYE PARK & RICHMAN DDS PLC NPI is 1508158940. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Triangle Implant Center.

The provider's business location address is:

1107 S FIFTH ST
SUITE 250
MEBANE, NC
ZIP 27302-597
Phone: (919) 237-9400

The provider's authorized official is Andres F Henao .
The authorized official title is Technical Director and has the following contact phone number (919) 563-2897.

The enumeration date for this NPI number is 5/4/2011 and was last updated on 10/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeNo
2125Q00000XOral MedicinistNo
31223S0112XDentistOral and Maxillofacial Surgery7381NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15917450MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.