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

Derek Park, DDS

Individual provider General Practice Dentistry · NPI 1700778172

Derek Park, DDS is a General Practice Dentistry in Monroe, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

623 W Main St
Monroe, WA 98272-2101
Phone: (360) 805-9060
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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 · Licence 61691554 (WA)

Record details

NPI number1700778172
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 18, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address12115 19th Ave Se Apt H303, Everett, WA 98208-6277

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