JAY PARK DMD
NPI 1013581677
Dentist - General Practice in Auburn, WA

Active since May 18, 2021
1404 LAKE TAPPS PKWY SE STE A103, AUBURN, WA 98092(253) 341-4973 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jay Park Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY PARK DMD (NPI 1013581677) is an individual general practice provider in Auburn, Washington, licensed in Washington (DE61164036) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1013581677
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJAY PARKCredential: DMD
Location Address1404 LAKE TAPPS PKWY SE STE A103Auburn, WA 98092-8156
Mailing Address12319 41st Street Ct EEdgewood, WA 98372-7801 · (931) 494-6959
Sole ProprietorYes
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1013581677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE61164036
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1404 LAKE TAPPS PKWY SE STE A103, Auburn, WA 98092

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1404 LAKE TAPPS PKWY SE STE A103
AUBURN, WA 98092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Park's NPI number?

The NPI number for Jay Park is 1013581677. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Jay Park located?

Jay Park practices at 1404 Lake Tapps Pkwy SE Ste A103, Auburn, WA 98092. The listed phone number is (253) 341-4973.

What is Jay Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jay Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental and 1 other insurer list Jay Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jay Park was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.