KWANYONG PARK
NPI 1255084182
Dentist in New Hyde Park, NY

Active since January 31, 2022
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-7000 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Jan 31, 2022 (2 updates tracked since 2022).

About Kwanyong Park NPPES

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

KWANYONG PARK (NPI 1255084182) is an individual dentist in New Hyde Park, New York, licensed in New York (063235) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1255084182
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKWANYONG PARK
Location Address27005 76TH AVENew Hyde Park, NY 11040-1402
Mailing Address4155 Bowne StFlushing, NY 11355-2690
Sole ProprietorNo
Enumeration DateJanuary 31, 2022
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1255084182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 063235
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 063235 (NY)
27005 76TH AVE, New Hyde Park, NY 11040

Other Providers at the Same Location NPPES 20

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

Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040

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 Kwanyong Park's NPI number?

The NPI number for Kwanyong Park is 1255084182. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Kwanyong Park located?

Kwanyong Park practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-7000.

What is Kwanyong Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Kwanyong Park was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.