Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619524857 Individual Practitioner Female Practitioner

Dr. Ariel Rachel Park , DMD

Dentist - General Practice • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ariel Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Longview, WA. Practice services are available at 1057 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1057 12th Ave

Longview, WA 986322509

Telephone 3604141300
Fax 3606364420
Associated Practice Facility / Clinic
🏢 Cowlitz Family Health Center Facility NPI 1891724506

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
28 Specialists

Practicing in Longview, 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: 2023-12-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60978119

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

7 Associated Practitioners
NPI 1073079984

DENTALHYGIENIST

Dr. Justin Tan , DDS

Dentist - General Practice

NPI 1235536475

Doctor of Dental Surgery

Dr. Serena Xu , DDS

Dentist - General Practice

NPI 1356107288

Doctor of Dental Surgery

Dr. Roxane Oshiro , DDS

Dentist - General Practice

NPI 1396781936

Doctor of Dental Surgery

Dr. Michael Suk , DDS

Dentist - General Practice

NPI 1528824117

Doctor of Dental Surgery

Dr. Lee Hermen , DDS

Dentist - General Practice

NPI 1649336470

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 11, 2023

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3604141300)

📍
Updated Business Mailing Address December 11, 2023

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3604141300)

NPI Profile Active August 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2019

Registered at 910 NE 82ND ST, VANCOUVER, WA 986658847 (Tel: 8554336825)

📍
Updated Business Mailing Address August 22, 2019

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 8554336825)

👤
Provider Name / Credentials Updated August 22, 2019

Recorded as ARIEL PARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Dentist (License #DE60978119 in WA)

🟢
Initial NPI Registration & Enumeration August 22, 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: 1619524857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2019
Last Update: December 11, 2023
Sole Proprietor: No

Mailing Address

1057 12th Ave

Longview, WA 986322509

Phone: 3604141300

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.