DR. LISA WYSONG PARK DDS
NPI 1487770715
Dentist - General Practice in Seattle, WA

Active since March 21, 2007
3601 FREMONT AVE N, 316, SEATTLE, WA 98103(206) 675-0366(206) 675-0466 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lisa Wysong Park Dds NPPES

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

DR. LISA WYSONG PARK DDS (NPI 1487770715) is an individual general practice provider in Seattle, Washington, licensed in Washington (DE00006876) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1487770715
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA WYSONG PARKCredential: DDS
Location Address3601 FREMONT AVE N, 316Seattle, WA 98103
Mailing Address3601 Fremont Ave N, #316Seattle, WA 98103 · (206) 675-0366 · Fax (206) 675-0466
Fax(206) 675-0466
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1487770715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · DE00006876
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.

3601 FREMONT AVE N, Seattle, WA 98103

Other Names 1

Other Name (5)Lisa Hwa Park

Other Providers at the Same Location NPPES 10

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

Massage Therapist
3601 FREMONT AVE N, #309
SEATTLE, WA 98103
Specialist
3601 FREMONT AVE N, STE. 412
SEATTLE, WA 98103
Dentist (General Practice)
3601 FREMONT AVE N, #316
SEATTLE, WA 98103
Family Medicine
3601 FREMONT AVE N, STE 309
SEATTLE, WA 98103
Dentist (General Practice)
3601 FREMONT AVE N, SUITE 316
SEATTLE, WA 98103
Acupuncturist
3601 FREMONT AVE N, SUITE 412
SEATTLE, WA 98103
Naturopath
3601 FREMONT AVE N, SUITE 412
SEATTLE, WA 98103
Clinic/Center (Adult Mental Health)
3601 FREMONT AVE N, SUITE 412
SEATTLE, WA 98103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487770715, enumerated as an "individual" on March 21, 2007.

The provider is located at 3601 FREMONT AVE N 316 SEATTLE, WA 98103 and the phone number is (206) 675-0366.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.