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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164006730

Dr. Stella Park, DDS is a Student in an Organized Health Care Education/Training Program in Jamaica, New York. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone: (201) 741-7197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26 Beverly Rd, Bloomfield, NJ 07003-4110 — (201) 741-7197

Specialties & licences

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

Record details

NPI number1164006730
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021

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