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DR. DONG S PARK DDS
NPI 1013963230
Dentist - Periodontics in Chantilly, VA

Active since May 26, 2006
14100 PARK MEADOW DR STE 110, CHANTILLY, VA 20151(703) 466-5115(703) 466-5502 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2023, Mar 13, 2023 (2 updates tracked since 2023).

About Dr. Dong S Park Dds NPPES

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

DR. DONG S PARK DDS (NPI 1013963230) is an individual periodontics provider in Chantilly, Virginia, licensed in Virginia (0401414636) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1013963230
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DONG S PARKCredential: DDS
Location Address14100 PARK MEADOW DR STE 110Chantilly, VA 20151-2292
Mailing Address14100 Park Meadow Dr Ste 110Chantilly, VA 20151-2292 · (703) 466-5115 · Fax (703) 466-5502
Phone(703) 466-5115
Fax(703) 466-5502
Sole ProprietorYes
Enumeration DateMay 26, 2006
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1013963230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in VA · 0401414636
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
14100 PARK MEADOW DR STE 110, Chantilly, VA 20151
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Dong Park's NPI number?

The NPI number for Dong Park is 1013963230. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Dong Park located?

Dong Park practices at 14100 Park Meadow Dr Ste 110, Chantilly, VA 20151. The listed phone number is (703) 466-5115.

What is Dong Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Dong Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Dong 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 Dong Park was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.