Dong S. Park, DDS
Periodontics · Chantilly, VA
Practice location
14100 Park Meadow Dr Ste 110Chantilly, VA 20151-2292
- Phone
- (703) 466-5115
- Fax
- (703) 466-5502
NPI record
- NPI
- 1013963230
- Entity type
- Individual (Type 1)
- Enumeration date
- May 26, 2006
- Last updated
- March 20, 2023
- Certified
- March 20, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Periodontics Primary | 1223P0300X |
0401414636 | VA |
About Dr. Park
Dong S. Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 14100 Park Meadow Dr Ste 110, Chantilly, VA 20151-2292. The NPI number 1013963230 was assigned on May 26, 2006 and the record was last updated on March 20, 2023.
Dr. Park lists a license in the registry: #0401414636 (VA) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Dong S. Park, DDS?
The NPI number is 1013963230.
What is the phone number of Dr. Park?
The phone number listed for the practice location is (703) 466-5115.
Where is Dr. Park located?
14100 Park Meadow Dr Ste 110, Chantilly, VA 20151-2292.
What is the taxonomy code for Dr. Park?
The primary taxonomy code is 1223P0300X – Periodontics.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Periodontics providers in Chantilly
- John Lee Smith, MS, DDS13916 Metrotech Dr