Individual provider · Type 1 NPI

Ji Park, DDS

General Practice Dentistry · Flushing, NY

NPI number 1174913073 Active

Practice location

4500 Parsons Blvd
Flushing, NY 11355-2205

Mailing address

3614 165th St Apt 1AA
Flushing, NY 11358-2039

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X057917 (NY)

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 1174913073

Ji Park, DDS's National Provider Identifier is 1174913073, issued on Jan 29, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Flushing, NY. The record was last updated on Jan 10, 2018.