DR. GLORIA S. PARK DMD
NPI 1720655848
Dentist - General Practice in Suffern, NY

Q: What is Gloria Park's NPI number?

The NPI number for Gloria Park is 1720655848. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Q: What is Gloria Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gloria Park was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 June 08, 2021

2 EXECUTIVE BLVD STE 304, SUFFERN, NY 10901(845) 357-4100 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gloria S. Park Dmd NPPES

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

DR. GLORIA S. PARK DMD (NPI 1720655848) is an individual general practice provider in Suffern, New York, licensed in New York (063644) and active in the NPI registry since June 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720655848

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GLORIA S. PARKCredential: DMD

Location Address2 EXECUTIVE BLVD STE 304Suffern, NY 10901-8219

Mailing Address622 W 168th StNew York, NY 10032-3720

Phone(845) 357-4100

Sole ProprietorNo

Enumeration DateJune 8, 2021

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 17, 2025

✔ NPI 1720655848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in NY · 063644✔ Licensed in NJ · 22DI02868500

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.

2 EXECUTIVE BLVD STE 304, Suffern, NY 10901

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Secondary Practice Locations 2

Location 1586 Morris AveBronx, NY 10451-5172 · Phone (646) 401-7878

Location 24801-07 Bergenline AveUnion City, NJ 07087 · Phone (201) 865-6740

Other Providers at the Same Location NPPES

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

AFFORDABLE DENTURES & IMPLANTS - NY, P.C.

Dentist (General Practice)

2 EXECUTIVE BLVD STE 304
SUFFERN, NY 10901

Rockland County (845) 357-4100

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 Gloria Park's NPI number?

The NPI number for Gloria Park is 1720655848. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Gloria Park located?

Gloria Park practices at 2 Executive Blvd Ste 304, Suffern, NY 10901. The listed phone number is (845) 357-4100.

What is Gloria Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Gloria Park was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.