Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649061698 Individual Practitioner Female Practitioner

Dr. Ju Hee Park , DDS

Dentist - General Practice • Annandale, VA

Professional Overview & Biography Verified Profile Summary

Dr. Ju Hee Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Annandale, VA. Practice services are available at 4322 RAVENSWORTH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4322 Ravensworth Rd

Annandale, VA 220035630

Telephone 7032565870
Associated Practice Facility / Clinic
🏢 Steven R. Johnson, D.d.s. Pc Facility NPI 1790999662

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

CMS Verified: 2025-05-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401419412

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

9 Associated Practitioners
Dr. Lynn Farrey , DDS

Dentist - General Practice

NPI 1053575621

Doctor of Dental Surgery

Dr. Soudabeh Dehghani , DDS

Dentist - General Practice

NPI 1275747982

Doctor of Dental Surgery

Lynn Alexander , DDS1

Dentist - Prosthodontics

NPI 1538440391
Dr. Daniel Choi , DDS

Dentist - General Practice

NPI 1558889170

Doctor of Dental Surgery

NPI 1649619818
Dr. Patricia Gomez , DDS

Dentist - General Practice

NPI 1710192976

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 May 16, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2025

Registered at 4322 RAVENSWORTH RD, ANNANDALE, VA 220035630 (Tel: 7032565870)

📍
Updated Business Mailing Address May 16, 2025

Registered at 5117 OVERLOOK PARK, ANNANDALE, VA 220034361

👤
Provider Name / Credentials Updated May 16, 2025

Recorded as JU HEE PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2025

Dentist (License #0401419412 in VA)

🟢
Initial NPI Registration & Enumeration May 16, 2025

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: 1649061698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2025
Last Update: May 16, 2025
Sole Proprietor: No

Mailing Address

5117 Overlook Park

Annandale, VA 220034361

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.