Doctor profile · Federal record
Dr. Jonathan Park, D.M.D.,M.D.
Oral and Maxillofacial Surgery (Dentist) · Fairfax, VA
- NPI 1114940905
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
10530 Rosehaven St, Suite 111
Fairfax, VA 220302840
(703) 385-5777
fax (703) 591-5386
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223S0112X — NUCC code
- State license (1)
- Virginia #0101221324
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114940905. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$301
Transactions
4
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 4 | $301.44 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
254
Patients
221
Total drug cost
$1,041
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Chlorhexidine Gluconate | Generic | 78 | 68 | $387 |
| Amoxicillin | Generic | 62 | 53 | $209 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 48 | 45 | $94 |
| Ibuprofen | Generic | 24 | 21 | $56 |
| Clindamycin Hcl | Generic | 21 | 16 | $249 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 21 | 18 | $46 |
Frequently asked questions
What is Dr. Jonathan Park's medical specialty?
Dr. Jonathan Park practices Oral and Maxillofacial Surgery (Dentist) in Fairfax, VA.
Where does Dr. Jonathan Park practice?
Dr. Jonathan Park practices at 10530 Rosehaven St, Fairfax, VA 220302840. Office phone: 7033855777.
What is Dr. Jonathan Park's NPI?
Dr. Jonathan Park's National Provider Identifier (NPI) is 1114940905, issued by NPPES.