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

Dr. Jong Kwan Park, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356721922

Dr. Jong Kwan Park, DDS is a Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey. Registered with an NPI since 2015.

In the registry since
2015
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

30 Prospect Ave Hackensack University Medical Ctr
Hackensack, NJ 07601-1915
Phone: (201) 289-7858
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1356721922
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 9, 2015
Last updated in NPPESJune 9, 2015
Mailing address30 Prospect Ave, Hackensack University Medical Center, Hackensack, NJ 07601-1915

Other providers in Hackensack