Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tina Keun Nan Park, DDS, MS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1407200694

Tina Keun Nan Park, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Seattle, Washington. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

11011 Meridian Ave N Ste 104
Seattle, WA 98133-8967
Phone: (855) 433-6825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 626 120th Ave Ne Ste B210, Bellevue, WA 98005-3038 — (855) 433-6825
  • 3216 Norton Ave, Everett, WA 98201-4290 — (855) 433-6825

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 63253 (CA)

Record details

NPI number1407200694
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedApril 14, 2016
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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