Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710545637 Individual Practitioner Female Practitioner

Dr. Si-Eun Park , DMD

Dentist - General Practice • Alexandria, VA

Professional Overview & Biography Verified Profile Summary

Dr. Si-Eun Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Alexandria, VA. Practice services are available at 1600 DUKE ST STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 Duke St Ste 150

Alexandria, VA 223146122

Telephone 7032761110

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Alexandria, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
142 Specialists

Practicing in Alexandria, VA (3535 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: 2026-07-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401418414

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

525 E Market St

Akron, OH 443041619

Phone: 3303756262

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1205287984

Doctor of Dental Medicine

Dr. Monica Moon , DDS

Dentist - General Practice

NPI 1902335896

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location July 22, 2026

Registered at 1600 DUKE ST STE 150, ALEXANDRIA, VA 223146122 (Tel: 7032761110)

📍
Updated Business Mailing Address July 22, 2026

Registered at 4060 GATEWAY DR APT 5507, FAIRFAX, VA 220305062 (Tel: 3306313238)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2026

Dentist (License #0401418414 in VA)

📍
Updated Practice Location September 01, 2020

Registered at 4050 BARRANCA PKWY STE 100, IRVINE, CA 926041725 (Tel: 9498613131)

📍
Updated Business Mailing Address September 01, 2020

Registered at 1374 SYNERGY, IRVINE, CA 926140160 (Tel: 3306313238)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2020

Dentist (License #105315 in CA)

NPI Profile Active June 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2019

Registered at 525 E MARKET ST, AKRON, OH 443041619 (Tel: 3303756262)

📍
Updated Business Mailing Address June 05, 2019

Registered at 401 S MAIN ST # 414A, AKRON, OH 443111111 (Tel: 2164965041)

👤
Provider Name / Credentials Updated June 05, 2019

Recorded as SI-EUN PARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 05, 2019

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: 1710545637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2019
Last Update: July 22, 2026
Sole Proprietor: No

Mailing Address

4060 Gateway Dr Apt 5507

Fairfax, VA 220305062

Phone: 3306313238

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.