Henry Insuk Park, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410785 Issued in VA

Practice address

7611 Little River Tpke
Suite 106W
Annandale, VA 22003-2602

Phone

(703) 750-0110

Fax

(703) 750-1211

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083688147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TPKE",
            "address_2": "SUITE 106W",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032602",
            "telephone_number": "703-750-0110",
            "fax_number": "703-750-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TPKE",
            "address_2": "SUITE 106W",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032602",
            "telephone_number": "703-750-0110",
            "fax_number": "703-750-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HENRY",
        "middle_name": "INSUK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13147",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049343-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gopal S Pal, D.D.S.
• Sandhya A Pal, D.D.S.
• Pan Homehealth Support Services LLC
• Manisha Parikh, P.T.
• Ah Reum Park
• Hune June Park, DMD
• Jaung Soon Park, L.AC., DAOM
• Ju Hee Park, DDS
• Kong Surk Park, D.C.
• Kyung Sook Park, OMD

• General Practice Dentistry in Annandale, VA
• Providers in Annandale, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.