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JUWON PARK DMD PC
NPI 1578045258
Dentist - Pediatric Dentistry in Albany, NY

Active since August 30, 2018
4 EXECUTIVE PARK DR, ALBANY, NY 12203(347) 408-8673 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juwon Park Dmd Pc NPPES

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

JUWON PARK DMD PC (NPI 1578045258) is a healthcare organization registered as a pediatric dentistry in Albany, New York and active in the NPI registry since August 2018. The organization lists John Juwon Park, President, as its authorized official.

NPPES Registry Identity

NPI1578045258
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJUWON PARK DMD PC
Location Address4 EXECUTIVE PARK DRAlbany, NY 12203-3718
Mailing Address255 Patroon Creek Blvd Apt 1405Albany, NY 12206-5019 · (347) 408-8673
Phone(347) 408-8673
Organization SubpartNo
Authorized OfficialJohn Juwon ParkPresident · (347) 408-8673
Enumeration DateAugust 30, 2018
✔ NPI 1578045258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NY · 056491
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4 EXECUTIVE PARK DR, Albany, NY 12203
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DEBBIE ANN KENNEDY V M.D.
Specialist
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 438-1434
JOSHUA A KING M.D.
Specialist
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 438-1434
SPORTS THERAPY ALBANY P.T, P.C.
Physical Therapist
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 489-2449
JOHN JUWON PARK DMD
Dentist (Pediatric Dentistry)
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (347) 408-8673
MR. THOMAS F. FASHOUER A.T.C.
Specialist/Technologist (Athletic Trainer)
4 EXECUTIVE PARK DR, ALBANY PHYSICAL THERAPY
ALBANY, NY 12203
Albany County (518) 489-2449
MS. PHRANCES BLAY HINCH M.S. NPP
Nurse Practitioner (Psychiatric/Mental Health)
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 438-9722
ELIZABETH DEMIS LCSW-R
Social Worker (Clinical)
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 438-9722
CAPITAL REGION UROLOGICAL SURGEONS
Specialist
4 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 489-7494

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 Juwon Park Dmd PC's NPI number?

The NPI number for Juwon Park Dmd PC is 1578045258. It was assigned to this organization in the NPPES registry on August 30, 2018.

Where is Juwon Park Dmd PC located?

Juwon Park Dmd PC is located at 4 Executive Park Dr, Albany, NY 12203. The listed phone number is (347) 408-8673.

What is Juwon Park Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Juwon Park Dmd PC was last updated on August 30, 2018. 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.