Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Juwon Park DMD PC

Organization Pediatric Dentistry · NPI 1578045258

Juwon Park DMD PC provides 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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