PARK DENTAL
NPI 1578851002
Clinic/Center - Dental in Roanoke, VA

Active since July 19, 2011
6625 WILLIAMSON RD, ROANOKE, VA 24019(540) 563-9398 Get Directions Write a Review

NPPES record last updated: June 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Dental NPPES

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

PARK DENTAL (NPI 1578851002) is a healthcare organization registered as a dental in Roanoke, Virginia and active in the NPI registry since July 2011. The organization lists Young Chul Park, President, as its authorized official.

NPPES Registry Identity

NPI1578851002
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameYOUNG C. PARK, DDS., PC
Location Address6625 WILLIAMSON RDRoanoke, VA 24019-4631
Mailing Address6625 Williamson RdRoanoke, VA 24019-4631 · (540) 563-9398
Organization SubpartNo
Authorized OfficialYoung Chul ParkPresident · (540) 563-9398
Enumeration DateJuly 19, 2011
Last NPPES UpdateJune 19, 2022
NPPES CertifiedJune 19, 2022
NPI 1578851002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in VA · 0401412589
6625 WILLIAMSON RD, Roanoke, VA 24019

Other Names 1

Doing Business AsPark Dental

Other Providers at the Same Location NPPES

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

Dentist
6625 WILLIAMSON RD
ROANOKE, VA 24019

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 Young C. Park, Dds., PC's NPI number?

The NPI number for Young C. Park, Dds., PC is 1578851002. It was assigned to this organization in the NPPES registry on July 19, 2011. The provider is doing business as Park Dental.

Where is Young C. Park, Dds., PC located?

Young C. Park, Dds., PC is located at 6625 Williamson Rd, Roanoke, VA 24019. The listed phone number is (540) 563-9398.

What is Young C. Park, Dds., PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Young C. Park, Dds., PC was last updated on June 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.