Active NPI 1013581677 Individual Practitioner Male Practitioner

Dr. Jay Park , DMD

Dentist - General Practice • Auburn, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jay Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Auburn, WA. Practice services are available at 1404 LAKE TAPPS PKWY SE STE A103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1404 Lake Tapps Pkwy Se Ste A103

Auburn, WA 980928156

Telephone 2533414973

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Auburn, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.3 Yrs

Regional Practice Density

41 Specialists

Practicing in Auburn, WA (3345 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: 2021-05-18

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE61164036

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

1 Associated Practitioners

Dr. Yi He , DDS

Dentist - General Practice

NPI 1568026284

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 18, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location May 18, 2021

Registered at 1404 LAKE TAPPS PKWY SE STE A103, AUBURN, WA 980928156 (Tel: 2533414973)

📍

Updated Business Mailing Address May 18, 2021

Registered at 12319 41ST STREET CT E, EDGEWOOD, WA 983727801 (Tel: 9314946959)

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Provider Name / Credentials Updated May 18, 2021

Recorded as JAY PARK, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2021

Dentist (License #DE61164036 in WA)

🟢

Initial NPI Registration & Enumeration May 18, 2021

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: 1013581677

Entity Type:

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

Enumeration Date: May 18, 2021

Last Update: May 18, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

12319 41st Street Ct E

Edgewood, WA 983727801

Phone: 9314946959

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.