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

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X0401418010 (VA)
Dentist 122300000XDEN2000277 (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.