Individual provider · Type 1 NPI

Derek Park, DDS

General Practice Dentistry · Monroe, WA

NPI number 1700778172 Active

Practice location

623 W Main St
Monroe, WA 98272-2101

Call (360) 805-9060 Map

Mailing address

12115 19th Ave SE Apt H303
Everett, WA 98208-6277

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X61691554 (WA)

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.

2 other providers at this address

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About NPI 1700778172

Derek Park, DDS's National Provider Identifier is 1700778172, issued on Jul 18, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Monroe, WA. The record was last updated on Jul 18, 2025.