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

Ji Park, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174913073

Ji Park, DDS is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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.

See every abbreviation used in this directory →

Practice location Address checks out

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone: (718) 670-5521
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 057917 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174913073
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 29, 2015
Last updated in NPPESJanuary 10, 2018
Mailing address3614 165th St Apt 1aa, Flushing, NY 11358-2039

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