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Active NPI 1588837330 Individual Practitioner Male Practitioner

Dr. David B Park , DDS MD

Dentist • Selden, NY

Professional Overview & Biography Verified Profile Summary

Dr. David Park, DDS MD is a registered healthcare professional specializing in Dentist in Selden, NY. Practice services are available at 260 MIDDLE COUNTRY RD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

260 Middle Country Rd
Building 2, Suite 12

Selden, NY 117842568

Telephone 6316969752
Fax 6316965096
Associated Practice Facility / Clinic
🏢 American Medical Company Facility NPI 1053859207

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Selden, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Selden, NY (6355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
27 27 $205.00 $120.10

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 50051020DDS

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Joshua Gish , DDS

Oral & Maxillofacial Surgery

NPI 1003085036

Doctor of Dental Surgery

Dr. Mario Capuano , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1831199694

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2009

Registered at 260 MIDDLE COUNTRY RD, BUILDING 2, SUITE 12, SELDEN, NY 117842568 (Tel: 6316969752)

📍
Updated Business Mailing Address June 11, 2009

Registered at 260 MIDDLE COUNTRY RD, BUILDING 2, SUITE 12, SELDEN, NY 117842568 (Tel: 6316969752)

👤
Provider Name / Credentials Updated June 11, 2009

Recorded as DAVID PARK, DDS MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2009

Dentist (License #50051020DDS in NY)

🟢
Initial NPI Registration & Enumeration April 11, 2008

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: 1588837330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2008
Last Update: June 11, 2009
Sole Proprietor: No

Mailing Address

260 Middle Country Rd, Building 2, Suite 12

Selden, NY 117842568

Phone: 6316969752

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.