SOO KYEONG PARK DENTIST(DMD)
NPI 1821721549
Dentist - General Practice in Madison, NJ

Q: What is Soo Kyeong Park's NPI number?

The NPI number for Soo Kyeong Park is 1821721549. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Q: What is Soo Kyeong 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 Soo Kyeong Park was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 July 08, 2022

120 PARK AVE, MADISON, NJ 07940(973) 377-7088(973) 377-4722 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Jul 8, 2022 (2 updates tracked since 2022).

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About Soo Kyeong Park Dentist(dmd) NPPES

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

SOO KYEONG PARK DENTIST(DMD) (NPI 1821721549) is an individual general practice provider in Madison, New Jersey, licensed in Maryland (17486) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1821721549

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSOO KYEONG PARKCredential: DENTIST(DMD)

Location Address120 PARK AVEMadison, NJ 07940-1559

Mailing Address311 E 38th St Apt 3fNew York, NY 10016-2773 · (347) 944-7533

Phone(973) 377-7088

Fax(973) 377-4722

Sole ProprietorYes

Enumeration DateJuly 8, 2022

Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration

NPPES CertifiedOctober 10, 2024

✔ NPI 1821721549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MD · 17486

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.

120 PARK AVE, Madison, NJ 07940

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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.

DR. SAMUEL ROMANO D.M.D.

Dentist (General Practice)

120 PARK AVE
MADISON, NJ 07940

Morris County (973) 377-7088

NORTH JERSEY MAXILLO-FACIAL SERVICES LLC

Specialist

120 PARK AVE
MADISON, NJ 07940

Morris County (973) 377-7088

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 Soo Kyeong Park's NPI number?

The NPI number for Soo Kyeong Park is 1821721549. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Soo Kyeong Park located?

Soo Kyeong Park practices at 120 Park Ave, Madison, NJ 07940. The listed phone number is (973) 377-7088.

What is Soo Kyeong 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 Soo Kyeong Park was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.