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

Mark Park, DDS

Individual provider Endodontics · NPI 1134734353

Mark Park, DDS is an Endodontics in Flushing, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
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

14474 Northern Blvd Apt Phc
Flushing, NY 11354-4588
Phone: (323) 717-2375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 063880 (NY)

Record details

NPI number1134734353
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 14, 2020
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address14474 Northern Blvd Apt Phc, Flushing, NY 11354-4588

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