Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SI-EUN PARK DMD
NPI 1710545637
Dentist - General Practice in Alexandria, VA

Active since June 05, 2019
1600 DUKE ST STE 150, ALEXANDRIA, VA 22314(703) 276-1110 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Sep 1, 2020, Jun 5, 2019 (3 updates tracked since 2019).

About Si-eun Park Dmd NPPES

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

SI-EUN PARK DMD (NPI 1710545637) is an individual general practice provider in Alexandria, Virginia, licensed in Virginia (0401418414) and active in the NPI registry since June 2019. She maintains a secondary practice location in Akron.

NPPES Registry Identity

NPI1710545637
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSI-EUN PARKCredential: DMD
Location Address1600 DUKE ST STE 150Alexandria, VA 22314-6122
Mailing Address4060 Gateway Dr Apt 5507Fairfax, VA 22030-5062 · (330) 631-3238
Sole ProprietorNo
Enumeration DateJune 5, 2019
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1710545637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401418414
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.
1600 DUKE ST STE 150, Alexandria, VA 22314

Secondary Practice Location 1

Location 1525 E Market StAkron, OH 44304-1619 · Phone (330) 375-6262

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist
1600 DUKE ST STE 150
ALEXANDRIA, VA 22314
Dentist (General Practice)
1600 DUKE ST STE 150
ALEXANDRIA, VA 22314

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 Si-eun Park's NPI number?

The NPI number for Si-eun Park is 1710545637. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Si-eun Park located?

Si-eun Park practices at 1600 Duke St Ste 150, Alexandria, VA 22314. The listed phone number is (703) 276-1110.

What is Si-eun Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Si-eun Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Si-eun 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 Si-eun Park was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.