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KANG-WOO DANIEL PARK DDS
NPI 1063974459
Dentist in Montclair, NJ

Active since April 03, 2019
83 PARK ST, MONTCLAIR, NJ 07042(973) 744-0881 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2025, Apr 3, 2019 (2 updates tracked since 2019).

About Kang-woo Daniel Park Dds NPPES

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

KANG-WOO DANIEL PARK DDS (NPI 1063974459) is an individual dentist in Montclair, New Jersey, licensed in New Jersey (22DI02997300) and active in the NPI registry since April 2019. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1063974459
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKANG-WOO DANIEL PARKCredential: DDS
Location Address83 PARK STMontclair, NJ 07042-3465
Mailing Address83 Park StMontclair, NJ 07042-3465 · (973) 744-0881
Phone(973) 744-0881
Sole ProprietorYes
Enumeration DateApril 3, 2019
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1063974459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NJ · 22DI02997300✔ Licensed in NY · 061329
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
83 PARK ST, Montclair, NJ 07042
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Secondary Practice Location 1

Location 130 E 37th StNew York, NY 10016-3019 · Phone (646) 727-4188

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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.

DR. PAUL ROTUNDA DMD
Dentist
83 PARK ST
MONTCLAIR, NJ 07042
Essex County (973) 744-0881

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 Kang-woo Park's NPI number?

The NPI number for Kang-woo Park is 1063974459. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Kang-woo Park located?

Kang-woo Park practices at 83 Park St, Montclair, NJ 07042. The listed phone number is (973) 744-0881.

What is Kang-woo Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kang-woo Park accept?

Health plans from Humana list Kang-woo 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 Kang-woo Park was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.