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

Kwanyong Park

Individual provider General Practice Dentistry · NPI 1255084182

Kwanyong Park is a General Practice Dentistry in New Hyde Park, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

27005 76th Ave
New Hyde Park, NY 11040-1402
Phone: (718) 470-7000
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 063235 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 063235 (NY)

Record details

NPI number1255084182
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address4155 Bowne St, Flushing, NY 11355-2690

Other providers in New Hyde Park