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

Susan Park DDS, PLLC

Organization General Practice Dentistry · NPI 1609734086

Susan Park DDS, PLLC is a General Practice Dentistry in Bellevue, Washington. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1370 116th Ave NE Ste 104
Bellevue, WA 98004-3825
Phone: (425) 747-3080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1609734086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Park — Member · (206) 883-6720
NPI enumeratedJanuary 13, 2026
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address1370 116th Ave Ne Ste 104, Bellevue, WA 98004-3825

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