Individual provider · Type 1 NPI
Julie Park, DDS
General Practice Dentistry · Washington, DC
NPI number
1104408517
Active
Practice location
100 Gallatin St NE
Washington, DC 20011-7533
Fax (202) 483-0302
Mailing address
2333 Ontario Rd NW
Washington, DC 20009-2627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 0401418010 (VA) |
| Dentist | 122300000X | DEN2000277 (DC) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1104408517
Julie Park, DDS's National Provider Identifier is 1104408517, issued on Apr 25, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Washington, DC. The record was last updated on Jul 20, 2026.