Hyun S. Park DDS, PS

Primary specialty

DentistTaxonomy code 122300000X

License

DE7278 Issued in WA

Legal business name

HYUN S. PARK DDS, PS

Practice address

1717 S 324TH St Ste a
Federal Way, WA 98003-8500

Phone

(253) 815-0093

NPI assigned

Sep 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Hyun S Park, DDS

Title

President

Phone

(253) 815-0093

Specialties & licenses 1

Addresses

Other names 1

• Northwest Dentistry Doing business as

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

{
    "created_epoch": "1253318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253318400000",
    "number": "1104150473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S 324TH ST STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038500",
            "telephone_number": "253-815-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S 324TH ST STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038500",
            "telephone_number": "253-815-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN S. PARK DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-19",
        "last_updated": "2009-09-19",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-815-0093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE7278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Husmann
• Chela Yamara Hutchison, RN
• Jillian Bartlett Hutton
• Crystal Jin Hwang, RDH
• Richard H Hwynn, DDS
• Shukri Milgo Ibrahim
• Margaret Kokumo Igbekoyi
• Timothy J Igielski, D.C.
• Kainat Ikram
• Mohsin Ikram

• Dentist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.