Sunmin Park, D.D.S.

Dentist · MC Lean, VA

Individual Active NPI

NPI number 1053767996

Practice location

1515 Chain Bridge Rd
Suite #304
MC Lean, VA 22101-4451
Phone
(703) 821-0080
Fax
(703) 821-0032

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NPI record

NPI
1053767996
Entity type
Individual (Type 1)
Enumeration date
May 10, 2016
Last updated
May 3, 2021
Certified
May 3, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0401008699 VA

About Dr. Park

Sunmin Park, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1515 Chain Bridge Rd, Suite #304, MC Lean, VA 22101-4451. The NPI number 1053767996 was assigned on May 10, 2016 and the record was last updated on May 3, 2021.

Dr. Park lists a license in the registry: #0401008699 (VA) 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 Sunmin Park, D.D.S.?

The NPI number is 1053767996.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (703) 821-0080.

Where is Dr. Park located?

1515 Chain Bridge Rd, Suite #304, MC Lean, VA 22101-4451.

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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