Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578186516 Individual Practitioner Male Practitioner

Dr. Eugene Park , DDS

Dentist - Endodontics • Kingston, NY

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Park, DDS is a registered healthcare professional specializing in Dentist - Endodontics in Kingston, NY. Practice services are available at 1159 ULSTER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1159 Ulster Ave

Kingston, NY 124011513

Telephone 8453360500

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Kingston, NY

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

Practicing in Kingston, 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: 2024-06-26
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License NY 062038

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Alejandro Wiscovitch Russo , DMD

Dentist - General Practice

NPI 1720583222

Doctor of Dental Medicine

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location June 26, 2024

Registered at 1159 ULSTER AVE, KINGSTON, NY 124011513 (Tel: 8453360500)

📍
Updated Business Mailing Address June 26, 2024

Registered at 150 MYRTLE AVE APT 605, BROOKLYN, NY 112012911

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2024

Dentist (License #062038 in NY)

📍
Updated Practice Location October 23, 2021

Registered at 655 SAW MILL RD, WEST HAVEN, CT 065163964 (Tel: 2039325818)

📍
Updated Business Mailing Address October 23, 2021

Registered at 655 SAW MILL RD, WEST HAVEN, CT 065163964 (Tel: 2039325818)

👤
Provider Name / Credentials Updated October 23, 2021

Recorded as EUGENE PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2021

Dentist (License #13234 in CT)

NPI Profile Active May 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2020

Registered at 800 POLY PL, BROOKLYN, NY 112097104 (Tel: 6462414768)

📍
Updated Business Mailing Address May 26, 2020

Registered at 800 POLY PL, BROOKLYN, NY 112097104

👤
Provider Name / Credentials Updated May 26, 2020

Recorded as EUGENE PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 26, 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: 1578186516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2020
Last Update: June 26, 2024
Sole Proprietor: No

Mailing Address

150 Myrtle Ave Apt 605

Brooklyn, NY 112012911

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.