Byungjun Park, DDS, PLLC

Dentist · Bellevue, WA

Organization Active NPI

NPI number 1588900419

Practice location

1551 116TH Ave NE
Suite B-1
Bellevue, WA 98004-3814
Phone
(425) 373-1605

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NPI record

NPI
1588900419
Entity type
Organization (Type 2)
Enumeration date
December 20, 2012
Last updated
December 20, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 60048922 WA

Authorized official

Name
Byungjun Park, DDS
Title
Member
Phone
(425) 373-1605

About Byungjun Park, DDS, PLLC

Byungjun Park, DDS, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1551 116TH Ave NE, Suite B-1, Bellevue, WA 98004-3814. The NPI number 1588900419 was assigned on December 20, 2012 and the record was last updated on December 20, 2012.

Byungjun Park, DDS, PLLC lists a license in the registry: #60048922 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Byungjun Park, DDS, Member.

Frequently asked questions

What is the NPI number of Byungjun Park, DDS, PLLC?

The NPI number is 1588900419.

What is the phone number of Byungjun Park, DDS, PLLC?

The phone number listed for the practice location is (425) 373-1605.

Where is Byungjun Park, DDS, PLLC located?

1551 116TH Ave NE, Suite B-1, Bellevue, WA 98004-3814.

What is the taxonomy code for Byungjun Park, DDS, PLLC?

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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