Robert K. Park, D.D.S.

General Practice Dentistry · Monroe, WA

Individual Active NPI

NPI number 1477639375

Practice location

17798 147TH St SE
Monroe, WA 98272-1030
Phone
(360) 605-0211

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NPI record

NPI
1477639375
Entity type
Individual (Type 1)
Enumeration date
October 31, 2006
Last updated
March 18, 2025
Certified
March 18, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00010877 WA

Mailing address

10616 Woodhaven Ln
Bellevue, WA 98004-7211
Phone
(619) 540-6177

Other practice locations (1)

  • 15615 Bel Red Rd Ste D, Bellevue, WA 98008-2300 · (425) 643-6072

About Dr. Park

Robert K. Park, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 17798 147TH St SE, Monroe, WA 98272-1030. The NPI number 1477639375 was assigned on October 31, 2006 and the record was last updated on March 18, 2025.

Dr. Park lists a license in the registry: #DE00010877 (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 Robert K. Park, D.D.S.?

The NPI number is 1477639375.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (360) 605-0211.

Where is Dr. Park located?

17798 147TH St SE, Monroe, WA 98272-1030.

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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