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

Seohyun Park, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205523891

Seohyun Park, DDS is a Student in an Organized Health Care Education/Training Program in Mineola, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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

200 Old Country Rd Ste 460
Mineola, NY 11501-4293
Phone: (516) 663-2752
Show map & directions

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

Specialties & licences

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

Record details

NPI number1205523891
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 24, 2023
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address200 Old Country Rd Ste 460, Mineola, NY 11501-4293

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