Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700778172 Individual Practitioner Male Practitioner

Dr. Derek Park , DDS

Dentist - General Practice • Monroe, WA

Professional Overview & Biography Verified Profile Summary

Dr. Derek Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Monroe, WA. Practice services are available at 623 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

623 W Main St

Monroe, WA 982722101

Telephone 3608059060
Associated Practice Facility / Clinic
🏢 Ddk, Pllc Facility NPI 1285994103

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: 2025-07-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 61691554

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
NPI 1467531558

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 July 18, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2025

Registered at 623 W MAIN ST, MONROE, WA 982722101 (Tel: 3608059060)

📍
Updated Business Mailing Address July 18, 2025

Registered at 12115 19TH AVE SE APT H303, EVERETT, WA 982086277 (Tel: 4252076827)

👤
Provider Name / Credentials Updated July 18, 2025

Recorded as DEREK PARK, DDS

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

Dentist (License #61691554 in WA)

🟢
Initial NPI Registration & Enumeration July 18, 2025

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. Derek Park. Be the first to share your experience!

Sign in to leave a review for Dr. Derek Park

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

NPI Administrative Meta

NPI Number: 1700778172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2025
Last Update: July 18, 2025
Sole Proprietor: No

Mailing Address

12115 19th Ave Se Apt H303

Everett, WA 982086277

Phone: 4252076827

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.