Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DONG S PARK, DDS
Active Sole ProprietorDR. DONG S PARK, DDS is a Periodontology healthcare provider located in CHANTILLY, Virginia. NPI 1013963230 is currently active in the NPPES registry. Verify at CMS.
Periodontology · CHANTILLY, VA
Registration Details
- NPI Number
- 1013963230
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.265238570659 yrs)
- Last Updated
- Mar 20, 2023
- License
-
0401414636 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14100 PARK MEADOW DR STE 110CHANTILLY, VA, 201512292Browse VA providers · Browse ZIP 20151
- Phone
- 7034665115
- Fax
- 7034665502
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.