Ju Hee Park, DDS

General Practice Dentistry · Annandale, VA

Individual Active NPI

NPI number 1649061698

Practice location

4322 Ravensworth Rd
Annandale, VA 22003-5630
Phone
(703) 256-5870

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NPI record

NPI
1649061698
Entity type
Individual (Type 1)
Enumeration date
May 16, 2025
Last updated
May 16, 2025
Certified
May 16, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401419412 VA

Mailing address

5117 Overlook Park
Annandale, VA 22003-4361

About Dr. Park

Ju Hee Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4322 Ravensworth Rd, Annandale, VA 22003-5630. The NPI number 1649061698 was assigned on May 16, 2025 and the record was last updated on May 16, 2025.

Dr. Park lists a license in the registry: #0401419412 (VA) 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 Ju Hee Park, DDS?

The NPI number is 1649061698.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (703) 256-5870.

Where is Dr. Park located?

4322 Ravensworth Rd, Annandale, VA 22003-5630.

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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