Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juwon Park DMD PC

Organization Pediatric Dentistry · NPI 1578045258

Juwon Park DMD PC is a Pediatric Dentistry in Albany, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4 Executive Park Dr
Albany, NY 12203-3718
Phone: (347) 408-8673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 056491 (NY)

Record details

NPI number1578045258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Park — President · (347) 408-8673
NPI enumeratedAugust 30, 2018
Last updated in NPPESAugust 30, 2018
Mailing address255 Patroon Creek Blvd Apt 1405, Albany, NY 12206-5019

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