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

John Sir Park

Individual provider Dentist · NPI 1336395243

John Sir Park is a Dentist in Broadlands, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008

Practice location Address checks out

43170 Southern Walk Plz Ste 116
Broadlands, VA 20148-4464
Phone: (703) 687-4320
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401414285 (VA)

Record details

NPI number1336395243
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2008
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address43170 Southern Walk Plz Ste 116, Broadlands, VA 20148-4464

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