ENYOUNG PARK DDS
NPI 1306097993
Dentist - General Practice in Long Island City, NY

Active since October 01, 2008
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101(718) 361-5155 Get Directions Write a Review

NPPES record last updated: September 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Enyoung Park Dds NPPES

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

ENYOUNG PARK DDS (NPI 1306097993) is an individual general practice provider in Long Island City, New York, licensed in New York (P64476) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1306097993
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameENYOUNG PARKCredential: DDS
Location Address3711 QUEENS BLVDLong Island City, NY 11101-1725
Mailing Address230 W 55th St, Apt 16eNew York, NY 10019-5220 · (646) 942-2245
Sole ProprietorNo
Enumeration DateOctober 1, 2008
Last NPPES UpdateSeptember 21, 2009
NPI 1306097993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · P64476
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.
3711 QUEENS BLVD, Long Island City, NY 11101

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.

Clinic/Center
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Registered Nurse
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Licensed Practical Nurse
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Dentist (General Practice)
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Registered Nurse (Ambulatory Care)
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Registered Nurse (Ambulatory Care)
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Internal Medicine
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101
Licensed Practical Nurse
3711 QUEENS BLVD
LONG ISLAND CITY, NY 11101

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 Enyoung Park's NPI number?

The NPI number for Enyoung Park is 1306097993. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Enyoung Park located?

Enyoung Park practices at 3711 Queens Blvd, Long Island City, NY 11101. The listed phone number is (718) 361-5155.

What is Enyoung Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Enyoung Park was last updated on September 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.