Individual provider · Type 1 NPI
Sue Jean Park, DDS
Dental Anesthesiology · Pasadena, CA
Practice location
530 S Lake Ave # 534
Pasadena, CA 91101-3515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | 58385 (CA) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
About NPI 1659600682
Sue Jean Park, DDS's National Provider Identifier is 1659600682, issued on Dec 22, 2009. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Pasadena, CA. The record was last updated on Nov 3, 2025.