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

Dr. Cassie Park, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972178036

Dr. Cassie Park, DMD is a Student in an Organized Health Care Education/Training Program in Edison, New Jersey. Licensed in New Jersey. Registered with an NPI since 2021.

Licensed in
NJ
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3900 Park Ave Ste 105
Edison, NJ 08820-3063
Phone: (732) 452-0100
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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 22DI02843000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972178036
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 21, 2021
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address3900 Park Ave Ste 105, Edison, NJ 08820-3063

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