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JASON PARK DDS
NPI 1104305093
Dentist - General Practice in Lynnwood, WA

Active since August 10, 2018
1418 164TH ST SW STE 100, LYNNWOOD, WA 98087(425) 742-8828 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Park Dds NPPES

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

JASON PARK DDS (NPI 1104305093) is an individual general practice provider in Lynnwood, Washington, licensed in Washington (60868937) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1104305093
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJASON PARKCredential: DDS
Location Address1418 164TH ST SW STE 100Lynnwood, WA 98087-8500
Mailing Address1418 164th St Sw Ste 100Lynnwood, WA 98087-8500
Phone(425) 742-8828
Sole ProprietorYes
Enumeration DateAugust 10, 2018
✔ NPI 1104305093 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 · 60868937
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.
1418 164TH ST SW STE 100, Lynnwood, WA 98087
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Accepted Insurance

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

Other Providers at the Same Location NPPES 5

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

DR. NICK YEUNG DDS
Dentist
1418 164TH ST SW STE 100
LYNNWOOD, WA 98087
Snohomish County (425) 742-8828
DR. EMILY ABIGAIL YEPEZ DDS
Dentist
1418 164TH ST SW STE 100
LYNNWOOD, WA 98087
Snohomish County (425) 742-8828
DR. CARL CHEUNG DMD
Dentist
1418 164TH ST SW STE 100
LYNNWOOD, WA 98087
Snohomish County (425) 742-8828
HEE-JIN YANG DDS
Dentist (General Practice)
1418 164TH ST SW STE 100
LYNNWOOD, WA 98087
Snohomish County (425) 742-8828
KANVARA VIROJSAKULCHAI DDS
Dentist
1418 164TH ST SW STE 100
LYNNWOOD, WA 98087
Snohomish County (425) 742-8828

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 Jason Park's NPI number?

The NPI number for Jason Park is 1104305093. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Where is Jason Park located?

Jason Park practices at 1418 164th St SW Ste 100, Lynnwood, WA 98087. The listed phone number is (425) 742-8828.

What is Jason Park's specialty?

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

What insurance does Jason Park accept?

Health plans from Humana list Jason 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 Jason Park was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.