DR. CHARLES HEE YONG PARK DDS
NPI 1639140023
Dentist in Fairfax, VA

Q: What is Charles Park's NPI number?

The NPI number for Charles Park is 1639140023. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Q: What is Charles 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 Charles Park was last updated on April 27, 2019. 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.

Active since February 01, 2006

4290 CHAIN BRIDGE RD STE 202, FAIRFAX, VA 22030(703) 828-6630(888) 636-8702 Get Directions Write a Review

NPPES record last updated: April 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Charles Hee Yong Park Dds NPPES

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

DR. CHARLES HEE YONG PARK DDS (NPI 1639140023) is an individual dentist in Fairfax, Virginia, licensed in Virginia (0401411122) and active in the NPI registry since February 2006. He maintains a secondary practice location in College Park.

NPPES Registry Identity

NPI1639140023

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CHARLES HEE YONG PARKCredential: DDS

Location Address4290 CHAIN BRIDGE RD STE 202Fairfax, VA 22030-8158

Mailing Address4290 Chain Bridge Rd Ste 202Fairfax, VA 22030-8158 · (703) 828-6630 · Fax (888) 636-8702

Phone(703) 828-6630

Fax(888) 636-8702

Sole ProprietorYes

Enumeration DateFebruary 1, 2006

Last NPPES UpdateApril 27, 2019

✔ NPI 1639140023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 0401411122

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.

4290 CHAIN BRIDGE RD STE 202, Fairfax, VA 22030

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Secondary Practice Location 1

Location 110107 Baltimore Ave Apt 4307College Park, MD 20740-4233 · Phone (443) 235-6758

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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 Charles Park's NPI number?

The NPI number for Charles Park is 1639140023. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Charles Park located?

Charles Park practices at 4290 Chain Bridge Rd Ste 202, Fairfax, VA 22030. The listed phone number is (703) 828-6630.

What is Charles Park's specialty?

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

What insurance does Charles Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Charles 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 Charles Park was last updated on April 27, 2019. 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.