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EUNHYAE PARK DDS
NPI 1255787792
Dentist - Pediatric Dentistry in Riverdale, MD

Active since May 13, 2016
4595 VAN BUREN ST, RIVERDALE, MD 20737(301) 641-2081 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2017, May 13, 2016 (2 updates tracked since 2016).

About Eunhyae Park Dds NPPES

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

EUNHYAE PARK DDS (NPI 1255787792) is an individual pediatric dentistry provider in Riverdale, Maryland, licensed in Maryland (16485) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1255787792
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameEUNHYAE PARKCredential: DDS
Location Address4595 VAN BUREN STRiverdale, MD 20737-1080
Mailing Address15 Pitt CtRockville, MD 20850 · (301) 641-2081
Phone(301) 641-2081
Sole ProprietorNo
Enumeration DateMay 13, 2016
Last NPPES UpdateMarch 28, 20222 updates tracked since enumeration
NPPES CertifiedMarch 28, 2022
✔ NPI 1255787792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MD · 16485
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 16485 (MD)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4595 VAN BUREN ST, Riverdale, MD 20737
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Accepted Insurance

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

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 Eunhyae Park's NPI number?

The NPI number for Eunhyae Park is 1255787792. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Eunhyae Park located?

Eunhyae Park practices at 4595 Van Buren St, Riverdale, MD 20737. The listed phone number is (301) 641-2081.

What is Eunhyae Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Eunhyae Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Eunhyae 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 Eunhyae Park was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.