SHIRLEY SOEUN PARK DDS
NPI 1437880143
Dentist in Oak Harbor, WA

Q: What is Shirley Park's NPI number?

The NPI number for Shirley Park is 1437880143. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Q: What is Shirley Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shirley Park was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 22, 2022

3475 N SARATOGA ST, OAK HARBOR, WA 98278(360) 257-2302 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shirley Soeun Park Dds NPPES

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

SHIRLEY SOEUN PARK DDS (NPI 1437880143) is an individual dentist in Oak Harbor, Washington, licensed in Washington (DE61309904) and active in the NPI registry since June 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437880143

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSHIRLEY SOEUN PARKCredential: DDS

Location Address3475 N SARATOGA STOak Harbor, WA 98278-0001

Mailing Address3057 Nw 63rd StSeattle, WA 98107-2566 · (206) 683-7111

Phone(360) 257-2302

Sole ProprietorNo

Enumeration DateJune 22, 2022

Last NPPES UpdateJuly 13, 2023

NPPES CertifiedJuly 5, 2022

✔ NPI 1437880143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE61309904

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.

3475 N SARATOGA ST, Oak Harbor, WA 98278

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Secondary Practice Locations 2

Location 12310 Craven St Bldg 3230San Diego, CA 92136-0001 · Phone (619) 556-8842

Location 2Nmrtc San Diego 34800 Bob Wilson DrSan Diego, CA 92134-0001 · Phone (619) 532-6400

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.

REINA LORENE LOPEZ DO

General Practice