Individual provider · Type 1 NPI

Kwanyong Park

Dentist · New Hyde Park, NY

NPI number 1255084182 Active

Practice location

27005 76th Ave
New Hyde Park, NY 11040-1402

Call (718) 470-7000 Map

Mailing address

4155 Bowne St
Flushing, NY 11355-2690

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X063235 (NY)
Dentist Primary 122300000X063235 (NY)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1255084182

Kwanyong Park's National Provider Identifier is 1255084182, issued on Jan 31, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in New Hyde Park, NY. The record was last updated on May 26, 2026.