Active NPI 1336556703 Individual Practitioner Female Practitioner

Dr. Sunyoung Park , DMD

Dentist - Endodontics • Corvallis, OR

Professional Overview & Biography Verified Profile Summary

Dr. Sunyoung Park, DMD is a registered healthcare professional specializing in Dentist - Endodontics in Corvallis, OR. Practice services are available at 2350 NW CENTURY DR STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2350 Nw Century Dr Ste 200

Corvallis, OR 973303495

Telephone 5417680419

Associated Practice Facility / Clinic

🏢 Valley Endodontics Facility NPI 1760997803

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Corvallis, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Corvallis, OR (119 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: 2022-02-15

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License WI 726515

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. Brian Wilson , DMD

Dentist - Endodontics

NPI 1740288034

Doctor of Dental Medicine

Career & Practice History Timeline

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

20 Historical Events

📍

Updated Practice Location February 23, 2022

Registered at 2350 NW CENTURY DR STE 200, CORVALLIS, OR 973303495 (Tel: 5417680419)

📍

Updated Business Mailing Address February 23, 2022

Registered at 2350 NW CENTURY DR STE 200, CORVALLIS, OR 973303495 (Tel: 5417680419)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2022

Dentist (License #726515 in WI)

📍

Updated Practice Location January 17, 2022

Registered at 2713 MARSHALL CT, MADISON, WI 537052255 (Tel: 6084424400)

📍

Updated Business Mailing Address January 17, 2022

Registered at 2713 MARSHALL CT, MADISON, WI 537052255 (Tel: 6084424400)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2022

Dentist (License #7265 in WI)

📍

Updated Practice Location December 14, 2020

Registered at 2350 NW CENTURY DR STE 200, CORVALLIS, OR 973303495 (Tel: 5417680419)

📍

Updated Business Mailing Address December 14, 2020

Registered at 2350 NW CENTURY DR STE 200, CORVALLIS, OR 973303495 (Tel: 5417680419)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2020

Dentist (License #D11363 in OR)

📍

Updated Practice Location February 04, 2020

Registered at 10921 WILSHIRE BLVD STE 1203, LOS ANGELES, CA 900244005 (Tel: 3106517800)

📍

Updated Business Mailing Address February 04, 2020

Registered at 10921 WILSHIRE BLVD STE 1203, LOS ANGELES, CA 900244005 (Tel: 3106517800)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2020

Dentist (License #104370 in CA)

📍

Updated Practice Location December 16, 2019

Registered at 509 OLIVE WAY STE 1633, SEATTLE, WA 981011770 (Tel: 2066248313)

📍

Updated Business Mailing Address December 16, 2019

Registered at 509 OLIVE WAY STE 1633, SEATTLE, WA 981011770 (Tel: 2066248313)

✅

NPI Profile Active November 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 29, 2016

Registered at 144 CHAMBERS ST, NEW YORK, NY 100071228 (Tel: 2122279127)

📍

Updated Business Mailing Address November 29, 2016

Registered at 144 CHAMBERS ST, NEW YORK, NY 10007 (Tel: 2122279127)

👤

Provider Name / Credentials Updated November 29, 2016

Recorded as SUNYOUNG PARK, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2016

Dentist (License #058927 in NY)

🟢

Initial NPI Registration & Enumeration July 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1336556703

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 17, 2014

Last Update: February 23, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2350 Nw Century Dr Ste 200

Corvallis, OR 973303495

Phone: 5417680419

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.