Stephen B Park, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE 60315598 Issued in WA

Practice address

4000 E Madison St Ste 201
Seattle, WA 98112-3160

Phone

(206) 323-5677

NPI assigned

Jan 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stephen B. Park, DMD, PLLC.

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1568310704
  NPD Authorized official

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1124366257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E MADISON ST STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123160",
            "telephone_number": "206-323-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E MADISON ST STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123160",
            "telephone_number": "206-323-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "STEPHEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60315598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sangmi Park
• Seonha Park, DMD
• Sewon Park
• Siwon Park
• Song Youn Park, MD
• Suejin Park, PHARM D
• Sung Yoon Park, MD, PHD
• Sunghye Park
• Timothy Park
• Tina Keun Nan Park, D.D.S., M.S.

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.