Dr. Lydia Park, DDS
Dentist in Lutherville Timonium, MD. Individual provider (NPI-1).
NPI number1023934833
StatusActive
Last updated in NPPESJun 25, 2026
Details
- NPI
- 1023934833
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lydia Park
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2026
- Certification date
- Jun 25, 2026
- Last updated
- Jun 25, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 18672 | MD | Yes |
| 122300000X | Dentist | 0401420130 | VA |
Other names
- Lydia Yang (Other Name)
Practice location
1205 York Rd Ste 25aLutherville Timonium, MD 21093-6238
Phone 410-321-6120
Mailing address
7 Bull Branch CtCatonsville, MD 21228-4771
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