Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134734353 Individual Practitioner Male Practitioner

Dr. Mark Park , DDS

Dentist - Endodontics • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Dr. Mark Park, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Flushing, NY. Practice services are available at 14474 NORTHERN BLVD APT PHC under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14474 Northern Blvd Apt Phc

Flushing, NY 113544588

Telephone 3237172375

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Flushing, NY (503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-30
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License NY 063880

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location July 30, 2026

Registered at 14474 NORTHERN BLVD APT PHC, FLUSHING, NY 113544588 (Tel: 3237172375)

📍
Updated Business Mailing Address July 30, 2026

Registered at 14474 NORTHERN BLVD APT PHC, FLUSHING, NY 113544588

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2026

Dentist (License #063880 in NY)

📍
Updated Practice Location December 14, 2023

Registered at MEDDAC-BAVARIA, CMR 411, APO, AE 09112 (Tel: 3145902800)

📍
Updated Business Mailing Address December 14, 2023

Registered at MEDDAC-BAVARIA, CMR 411, APO, AE 09112

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2023

Dentist (License #DDS105513 in CA)

NPI Profile Active September 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2020

Registered at 404 SHATTO PL APT 443, LOS ANGELES, CA 900201739 (Tel: 3237172375)

📍
Updated Business Mailing Address September 14, 2020

Registered at 404 SHATTO PL APT 443, LOS ANGELES, CA 900201739

👤
Provider Name / Credentials Updated September 14, 2020

Recorded as MARK PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2020

Dentist (License #105513 in CA)

🟢
Initial NPI Registration & Enumeration September 14, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134734353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2020
Last Update: July 30, 2026
Sole Proprietor: No

Mailing Address

14474 Northern Blvd Apt Phc

Flushing, NY 113544588

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.