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

Dr. Jake Yong Park, DDS

Individual provider Dentist · NPI 1427203868

Dr. Jake Yong Park, DDS is a Dentist in Bellevue, Washington. Practices as a sole proprietor. Licensed in California and Washington.

Licensed in
CA, WA
In the registry since
2008
Specialties on file
2
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

12832 SE 40th Ln Ste 201
Bellevue, WA 98006-1241
Phone: (425) 636-8432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE 00011037 (WA)
Dentist Taxonomy 122300000X · Licence 56979 (CA)

Record details

NPI number1427203868
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 26, 2008
Last updated in NPPESAugust 4, 2014

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