Jason Park, DDS
General Practice Dentistry · Lynnwood, WA
Practice location
1418 164TH St SW Ste 100Lynnwood, WA 98087-8500
- Phone
- (425) 742-8828
NPI record
- NPI
- 1104305093
- Entity type
- Individual (Type 1)
- Enumeration date
- August 10, 2018
- Last updated
- August 10, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
60868937 | WA |
About Dr. Park
Jason Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1418 164TH St SW Ste 100, Lynnwood, WA 98087-8500. The NPI number 1104305093 was assigned on August 10, 2018 and the record was last updated on August 10, 2018.
Dr. Park lists a license in the registry: #60868937 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jason Park, DDS?
The NPI number is 1104305093.
What is the phone number of Dr. Park?
The phone number listed for the practice location is (425) 742-8828.
Where is Dr. Park located?
1418 164TH St SW Ste 100, Lynnwood, WA 98087-8500.
What is the taxonomy code for Dr. Park?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
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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