DR. SALLY PARK D.D.S., M.S.D.
NPI 1417145160
Dentist - Orthodontics and Dentofacial Orthopedics in Wayne, NJ

Active since October 09, 2007

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sally Park D.d.s., M.s.d. NPPES

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

DR. SALLY PARK D.D.S., M.S.D. (NPI 1417145160) is an individual orthodontics and dentofacial orthopedics provider in Wayne, New Jersey, licensed in New Jersey (22D102133200) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1417145160
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. SALLY PARKCredential: D.D.S., M.S.D.
Location Address1500 ALPS RDWayne, NJ 07470-3635
Mailing Address1500 Alps RdWayne, NJ 07470-3635 · (973) 696-5220
Sole ProprietorYes
Enumeration DateOctober 9, 2007
NPI 1417145160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NJ · 22D102133200
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1500 ALPS RD, Wayne, NJ 07470

Accepted Insurance

Other Providers at the Same Location NPPES 13

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

Family Medicine
1500 ALPS RD
WAYNE, NJ 07470
Family Medicine
1500 ALPS RD
WAYNE, NJ 07470
Nurse Practitioner (Adult Health)
1500 ALPS RD
WAYNE, NJ 07470
Physician Assistant
1500 ALPS RD
WAYNE, NJ 07470
Family Medicine
1500 ALPS RD
WAYNE, NJ 07470
Physician Assistant
1500 ALPS RD
WAYNE, NJ 07470
Family Medicine
1500 ALPS RD
WAYNE, NJ 07470
Dentist (Periodontics)
1500 ALPS RD
WAYNE, NJ 07470

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 Sally Park's NPI number?

The NPI number for Sally Park is 1417145160. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Sally Park located?

Sally Park practices at 1500 Alps Rd, Wayne, NJ 07470. The listed phone number is (973) 696-5220.

What is Sally Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Sally Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Sally 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 Sally Park was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.