Park Dental Studio LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PARK DENTAL STUDIO LLC

Practice address

811 Woodlane Rd
Westampton, NJ 08060-1049

Phone

(609) 267-1038

Fax

(609) 267-6563

NPI assigned

Dec 3, 2025

Organization subpart

No

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

Authorized official

Name

Soo Kyeong Park, DMDNPI 1821721549

Title

Dentist

Phone

(347) 944-7533

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soo Kyeong Park, DENTIST(DMD)

  • General Practice Dentistry
  • Madison, NJ
  • NPI 1821721549
  NPD Authorized official
• Ella Kerzhner, DMD

  • General Practice Dentistry
  • Westampton, NJ
  • NPI 1194740944
  NPD (past)

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1922961325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WOODLANE RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080601049",
            "telephone_number": "609-267-1038",
            "fax_number": "609-267-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WOODLANE RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080601049",
            "telephone_number": "609-267-1038",
            "fax_number": "609-267-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SOO KYEONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "347-944-7533",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Paone, MSW
• Krista Pappas
• Ariel Christen Parent
• Sara Parise
• Siani Lynn Parish
• Pearlie Parker-Guerra
• Alexis Parker
• Brandon Parker
• Chauntia D Parker
• Donavan Parker

• General Practice Dentistry in Westampton, NJ
• Providers in Westampton, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.