Susan Ma Park, DDS

Dentist · Bellevue, WA

Individual Active NPI

NPI number 1023203486

Practice location

1600 148TH Ave SE
Bellevue, WA 98007-6852
Phone
(425) 747-3080

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NPI record

NPI
1023203486
Entity type
Individual (Type 1)
Enumeration date
September 10, 2007
Last updated
September 10, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE7538 WA

Mailing address

9444 SE 52ND St
Mercer Island, WA 98040-4724
Phone
(206) 883-6720

About Dr. Park

Susan Ma Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1600 148TH Ave SE, Bellevue, WA 98007-6852. The NPI number 1023203486 was assigned on September 10, 2007 and the record was last updated on September 10, 2007.

Dr. Park lists a license in the registry: #DE7538 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Susan Ma Park, DDS?

The NPI number is 1023203486.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (425) 747-3080.

Where is Dr. Park located?

1600 148TH Ave SE, Bellevue, WA 98007-6852.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 122300000X – Dentist.

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.

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