Young B Park, DDS, Ps
Dentist, General Practice in Everett, WA. Organization (NPI-2).
Details
- NPI
- 1487979092
- Entity type
- Organization (NPI-2)
- Legal business name
- Young B Park, DDS, Ps
- Organization subpart
- No
- Enumeration date
- Apr 7, 2010
- Last updated
- Apr 7, 2010
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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DE7465 | WA | Yes |
Other names
- Young Dental Care (Doing Business As)
Practice location
11120 Evergreen WaySuite G
Everett, WA 98204
Phone 425-265-1188 · Fax 425-265-1619
Mailing address
11120 Evergreen WaySuit G
Everett, WA 98204
Phone 425-265-1188 · Fax 425-265-1619
Authorized official
Young Bae Park
Dentist/President
4252651188
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