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

Soo Kyeong Park, DENTISTDMD

Individual provider General Practice Dentistry · NPI 1821721549

Soo Kyeong Park, DENTISTDMD is a General Practice Dentistry in Madison, New Jersey. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2022

Practice location Address checks out

120 Park Ave
Madison, NJ 07940-1559
Phone: (973) 377-7088
Fax: (973) 377-4722
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 17486 (MD)

Record details

NPI number1821721549
Entity typeIndividual (Type 1)
GenderFemale
Credentials DENTISTDMD
Sole proprietorYes
NPI enumeratedJuly 8, 2022
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

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