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

Dr. Ji Eun Park, DDS

Individual provider Dentist · NPI 1861624405

Dr. Ji Eun Park, DDS is a Dentist in Astoria, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

25-37 Broadway
Astoria, NY 11106
Phone: (718) 786-2631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 054533 (NY)

Record details

NPI number1861624405
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 16, 2009
Last updated in NPPESSeptember 12, 2014
Mailing address25-37 Broadway, Astoria, NY 11106

Other providers in Astoria