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

Dr. Nam Park

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1326293614

Dr. Nam Park is an Oral and Maxillofacial Surgery (Dentist) in New York, New York. Works from 2 locations. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

140 W 69th St Ofc G1
New York, NY 10023-5321
Phone: (212) 466-6984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Iron Bridge Rd Ste 14, Freehold, NJ 07728-5305 — (732) 431-3400

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 053029 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 22DI02506200 (NJ)

Record details

NPI number1326293614
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 1, 2008
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

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