Independent US Healthcare Provider Directory & Public Medical Database
TRUE-MEDINFO Logo
TRUE-MEDINFO US Healthcare & Provider Directory
Active NPI 1174607832 Individual Practitioner Male Practitioner

Dr. Hae Duk Park , DMD

Dentist - General Practice • Manassas, VA

Professional Overview & Biography Verified Profile Summary

Dr. Hae Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Manassas, VA. Practice services are available at 8714 SUDLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8714 Sudley Rd

Manassas, VA 201104405

Telephone 7033688166
Fax 7033688624
Associated Practice Facility / Clinic
🏢 Nova Occupational Health Inc Facility NPI 1679836746

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Manassas, VA

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

Practicing in Manassas, 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 0401410598

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Va Dental Lic#
0401410598 (VA)
Commercial Insurance / Payer ID United Concordia Ins.id
1745319 (PA)
Commercial Insurance / Payer ID Anthem Bcbs Id #
178830 (VA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
April Brittain

Nurse Practitioner - Adult Health

NPI 1518208602

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8714 SUDLEY RD, MANASSAS, VA 201104405 (Tel: 7033688166)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8714 SUDLEY RD, MANASSAS, VA 201104405 (Tel: 7033688166)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HAE PARK, D.M.D.

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

Dentist (License #0401410598 in VA)

🟢
Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Hae Park. Be the first to share your experience!

Sign in to leave a review for Dr. Hae Park

Only verified registered users can submit ratings, post feedback, and upload facility photos.

Sign In Create Account

NPI Administrative Meta

NPI Number: 1174607832
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: March 07, 2023
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

8714 Sudley Rd

Manassas, VA 201104405

Phone: 7033688166

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.