Derek Park, DDS
General Practice Dentistry · Monroe, WA
Practice location
623 W Main StMonroe, WA 98272-2101
- Phone
- (360) 805-9060
NPI record
- NPI
- 1700778172
- Entity type
- Individual (Type 1)
- Enumeration date
- July 18, 2025
- Last updated
- July 18, 2025
- Certified
- July 18, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
61691554 | WA |
Mailing address
12115 19TH Ave SE Apt H303Everett, WA 98208-6277
- Phone
- (425) 207-6827
About Dr. Park
Derek Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 623 W Main St, Monroe, WA 98272-2101. The NPI number 1700778172 was assigned on July 18, 2025 and the record was last updated on July 18, 2025.
Dr. Park lists a license in the registry: #61691554 (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 Derek Park, DDS?
The NPI number is 1700778172.
What is the phone number of Dr. Park?
The phone number listed for the practice location is (360) 805-9060.
Where is Dr. Park located?
623 W Main St, Monroe, WA 98272-2101.
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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