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Active NPI 1477639375 Individual Practitioner Male Practitioner

Dr. Robert K Park , DDS

Dentist - General Practice • Monroe, WA

Professional Overview & Biography Verified Profile Summary

Dr. Robert Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Monroe, WA. Practice services are available at 17798 147TH ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17798 147th St Se

Monroe, WA 982721030

Telephone 3606050211
Associated Practice Facility / Clinic
🏢 Evergreen Family Dentistry Facility NPI 1497879001

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Monroe, WA

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

Practicing in Monroe, 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: 2025-03-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00010877

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.

Secondary Practice Locations

15615 Bel Red Rd Ste D

Bellevue, WA 980082300

Phone: 4256436072

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1831256668

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 18, 2025

Registered at 17798 147TH ST SE, MONROE, WA 982721030 (Tel: 3606050211)

📍
Updated Business Mailing Address March 18, 2025

Registered at 10616 WOODHAVEN LN, BELLEVUE, WA 980047211 (Tel: 6195406177)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2025

Dentist (License #DE00010877 in WA)

NPI Profile Active October 31, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2007

Registered at 12374 CARMEL COUNTRY RD, #209, SAN DIEGO, CA 921304523 (Tel: 7573752501)

📍
Updated Business Mailing Address October 31, 2007

Registered at 12374 CARMEL COUNTRY RD, #209, SAN DIEGO, CA 921304523 (Tel: 7573752501)

👤
Provider Name / Credentials Updated October 31, 2007

Recorded as ROBERT PARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2007

Dentist (License #56454 in CA)

🟢
Initial NPI Registration & Enumeration October 31, 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: 1477639375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2006
Last Update: March 18, 2025
Sole Proprietor: Yes

Mailing Address

10616 Woodhaven Ln

Bellevue, WA 980047211

Phone: 6195406177

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.