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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARK PARK DDS
NPI 1134734353
Dentist - Endodontics in Flushing, NY

Active since September 14, 2020
14474 NORTHERN BLVD APT PHC, FLUSHING, NY 11354(323) 717-2375 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Dec 14, 2023, Sep 14, 2020 (3 updates tracked since 2020).

About Mark Park Dds NPPES

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

MARK PARK DDS (NPI 1134734353) is an individual endodontics provider in Flushing, New York, licensed in New York (063880) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1134734353
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameMARK PARKCredential: DDS
Location Address14474 NORTHERN BLVD APT PHCFlushing, NY 11354-4588
Mailing Address14474 Northern Blvd Apt PhcFlushing, NY 11354-4588
Phone(323) 717-2375
Sole ProprietorNo
Enumeration DateSeptember 14, 2020
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1134734353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NY · 063880
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
14474 NORTHERN BLVD APT PHC, Flushing, NY 11354
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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 Mark Park's NPI number?

The NPI number for Mark Park is 1134734353. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Where is Mark Park located?

Mark Park practices at 14474 Northern Blvd Apt Phc, Flushing, NY 11354. The listed phone number is (323) 717-2375.

What is Mark Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Mark Park was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.