Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720655848 Individual Practitioner Female Practitioner

Dr. Gloria S. Park , DMD

Dentist - General Practice • Suffern, NY

Professional Overview & Biography Verified Profile Summary

Dr. Gloria Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Suffern, NY. Practice services are available at 2 EXECUTIVE BLVD STE 304 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Executive Blvd Ste 304

Suffern, NY 109018219

Telephone 8453574100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Suffern, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
30 Specialists

Practicing in Suffern, NY (8411 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: 2025-01-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 063644

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02868500

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.

Secondary Practice Locations

586 Morris Ave

Bronx, NY 104515172

Phone: 6464017878

4801-07 Bergenline Ave

Union City, NJ 07087

Phone: 2018656740

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Samuel Horowitz , DDS

Dentist - General Practice

NPI 1093811911

Doctor of Dental Surgery

Dr. Yaakov Cohen , DDS

Dentist - General Practice

NPI 1518654441

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 22, 2025

Registered at 2 EXECUTIVE BLVD STE 304, SUFFERN, NY 109018219 (Tel: 8453574100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2025

Dentist (License #22DI02868500 in NJ)

NPI Profile Active June 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2021

Registered at 622 W 168TH ST, NEW YORK, NY 100323720 (Tel: 2123054552)

📍
Updated Business Mailing Address June 08, 2021

Registered at 622 W 168TH ST, NEW YORK, NY 100323720

👤
Provider Name / Credentials Updated June 08, 2021

Recorded as GLORIA PARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 08, 2021

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: 1720655848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2021
Last Update: January 22, 2025
Sole Proprietor: No

Mailing Address

622 W 168th St

New York, NY 100323720

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.