Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083688147 Individual Practitioner Male Practitioner

Dr. Henry Insuk Park , DDS

Dentist - General Practice • Annandale, VA

Professional Overview & Biography Verified Profile Summary

Dr. Henry Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Annandale, VA. Practice services are available at 7611 LITTLE RIVER TPKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7611 Little River Tpke
Suite 106w

Annandale, VA 220032602

Telephone 7037500110
Fax 7037501211
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Annandale, VA

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

Practicing in Annandale, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401410785

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 MD 13147

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 NY 049343-1

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1013349190

Licensed Professional Counselor

Neva Ortuno , LPC

Counselor - Professional

NPI 1073841888

Licensed Professional Counselor

Mary White , NP

Nurse Practitioner - Adult Health

NPI 1104835214

Nurse Practitioner

Cristian Gutierrez , CSA

Specialist/Technologist, Other - Surgical Assistant

NPI 1164827325
Elizabeth Bostwick , FNP

Nurse Practitioner - Family

NPI 1669744033

Family Nurse Practitioner

Dr. Thieu Do , MD

Internal Medicine - Critical Care Medicine

NPI 1730137175

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2026

Dentist (License #13147 in MD)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7611 LITTLE RIVER TPKE, SUITE 106W, ANNANDALE, VA 220032602 (Tel: 7037500110)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7611 LITTLE RIVER TPKE, SUITE 106W, ANNANDALE, VA 220032602 (Tel: 7037500110)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HENRY PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0401410785 in VA)

🟢
Initial NPI Registration & Enumeration February 15, 2006

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: 1083688147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

7611 Little River Tpke, Suite 106w

Annandale, VA 220032602

Phone: 7037500110

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.