Doctor profile · Federal record
Dr. Soo Kyeong Park, Dentist(DMD)
General Practice Dentistry · Madison, NJ
- NPI 1821721549
- 4 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
120 Park Ave
Madison, NJ 079401559
(973) 377-7088
fax (973) 377-4722 - Mailing address
-
311 E 38Th St Apt 3F
New York, NY 100162773
Credentials & registration
- NPI registered
- July 2022 — 4 yrs on file
- Profile last updated
- October 10, 2024
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Maryland #17486
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821721549. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$44
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona Inc | 1 | $44.30 |
By nature of payment
Frequently asked questions
What is Dr. Soo Kyeong Park's medical specialty?
Dr. Soo Kyeong Park practices General Practice Dentistry in Madison, NJ.
Where does Dr. Soo Kyeong Park practice?
Dr. Soo Kyeong Park practices at 120 Park Ave, Madison, NJ 079401559. Office phone: 9733777088.
What is Dr. Soo Kyeong Park's NPI?
Dr. Soo Kyeong Park's National Provider Identifier (NPI) is 1821721549, issued by NPPES.