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

Dr. Dong S Park, DDS

Individual provider Periodontics · NPI 1013963230

Dr. Dong S Park, DDS is a Periodontics in Chantilly, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

14100 Park Meadow Dr Ste 110
Chantilly, VA 20151-2292
Phone: (703) 466-5115
Fax: (703) 466-5502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 0401414636 (VA)

Record details

NPI number1013963230
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 26, 2006
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023
Mailing address14100 Park Meadow Dr Ste 110, Chantilly, VA 20151-2292

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