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JISUNG PARK DDS
NPI 1346738564
Dentist in Buffalo, NY

Active since April 24, 2018
3557 UNION RD, BUFFALO, NY 14225(716) 651-0099 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2019, Apr 24, 2018 (2 updates tracked since 2018).

About Jisung Park Dds NPPES

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

JISUNG PARK DDS (NPI 1346738564) is an individual dentist in Buffalo, New York, licensed in New York (060540) and active in the NPI registry since April 2018. She maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1346738564
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJISUNG PARKCredential: DDS
Location Address3557 UNION RDBuffalo, NY 14225-5123
Mailing Address3557 Union RdBuffalo, NY 14225-5123
Phone(716) 651-0099
Sole ProprietorYes
Enumeration DateApril 24, 2018
Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration
✔ NPI 1346738564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 060540
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.
3557 UNION RD, Buffalo, NY 14225
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Secondary Practice Location 1

Location 16020 35th Ave SWSeattle, WA 98126-3002 · Phone (206) 461-6966

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 Jisung Park's NPI number?

The NPI number for Jisung Park is 1346738564. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Jisung Park located?

Jisung Park practices at 3557 Union Rd, Buffalo, NY 14225. The listed phone number is (716) 651-0099.

What is Jisung Park's specialty?

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

What insurance does Jisung Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Renaissance Dental and UnitedHealthcare list Jisung 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 Jisung Park was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.