Individual provider · Type 1 NPI
John Sir Park
Dentist · Broadlands, VA
Practice location
43170 Southern Walk Plz Ste 116
Broadlands, VA 20148-4464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 0401414285 (VA) |
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…
2 other providers at this address
Other dentist providers in Broadlands
About NPI 1336395243
John Sir Park's National Provider Identifier is 1336395243, issued on Aug 12, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Broadlands, VA. The record was last updated on Mar 23, 2026.