DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES HEE YONG PARK, DDS

Active Sole Proprietor

DR. CHARLES HEE YONG PARK, DDS is a Dentist healthcare provider located in FAIRFAX, Virginia. NPI 1639140023 is currently active in the NPPES registry. Verify at CMS.

Dentist · FAIRFAX, VA

Registration Details

NPI Number
1639140023
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2006 (20.498938761328 yrs)
Last Updated
Apr 27, 2019
License
0401411122 (VA)
Sole Proprietor
Yes

Practice Information

Address
4290 CHAIN BRIDGE RD STE 202
FAIRFAX, VA, 220308158
Browse VA providers · Browse ZIP 22030
Phone
7038286630
Fax
8886368702
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FAIRFAX, VA

Name Credential NPI
DR. ROBERT EDWARD GATENS DDS 1134122070
BICHLAN THI NGUYEN D.D.S. 1154345189
DR. DAVID W. METZDORF JR. DDS 1174530851
DR. DANY ANTONLOS BARAKAT DDS 1841394095
DR. LIDA MARIA VARGAS D.D.S 1609968874
NANTADLA Z ABINADER SR. DDS 1922193358
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.