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DR. HOSAN PARK D.D.S
NPI 1104363019
Dentist - Periodontics in Kent, WA

Active since January 30, 2017
25610 104TH AVE SE, KENT, WA 98030(253) 850-9777 Get Directions Write a Review

NPPES record last updated: April 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2018, Jan 30, 2017 (2 updates tracked since 2017).

About Dr. Hosan Park D.d.s NPPES

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

DR. HOSAN PARK D.D.S (NPI 1104363019) is an individual periodontics provider in Kent, Washington, licensed in Washington (DE60722033) and active in the NPI registry since January 2017. He maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1104363019
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. HOSAN PARKCredential: D.D.S
Location Address25610 104TH AVE SEKent, WA 98030-7610
Mailing Address2144 9th Ave WSeattle, WA 98119-2843 · (917) 226-7669
Phone(253) 850-9777
Sole ProprietorNo
Enumeration DateJanuary 30, 2017
Last NPPES UpdateApril 14, 20182 updates tracked since enumeration
✔ NPI 1104363019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in WA · DE60722033✔ Licensed in IL · 019.031420
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.
25610 104TH AVE SE, Kent, WA 98030
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Secondary Practice Location 1

Location 19730 3rd Ave NE Ste 205Seattle, WA 98115-2023 · Phone (206) 367-6453

Accepted Insurance

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

Other Providers at the Same Location NPPES 7

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

NURANI, MITCHELL, KIM, PC
Dentist
25610 104TH AVE SE
KENT, WA 98030
King County (253) 850-9777
PETER K CHUNG
Dentist (General Practice)
25610 104TH AVE SE
KENT, WA 98030
King County (253) 850-9777
TAMEEM A ANWAR DDS
Dentist (General Practice)
25610 104TH AVE SE
KENT, WA 98030
King County (253) 850-9777
BENJAMIN DORANTES DDS
Dentist (General Practice)
25610 104TH AVE SE
KENT, WA 98030
King County (253) 850-9777
SHRUTHI VENUGOPALAKRISHNAN
Dentist (General Practice)
25610 104TH AVE SE
KENT, WA 98030
King County (206) 913-7272
THOMAS FABER
Dentist (Periodontics)
25610 104TH AVE SE
KENT, WA 98030
King County (253) 850-9777
JULIE KIM D.M.D.
Dentist (General Practice)
25610 104TH AVE SE
KENT, WA 98030
King County (253) 850-9777

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 Hosan Park's NPI number?

The NPI number for Hosan Park is 1104363019. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Hosan Park located?

Hosan Park practices at 25610 104th Ave SE, Kent, WA 98030. The listed phone number is (253) 850-9777.

What is Hosan Park's specialty?

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

What insurance does Hosan Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, 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 Hosan 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 Hosan Park was last updated on April 14, 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.