Doctor profile · Federal record
Dr. Jason Park, DDS
General Practice Dentistry · Lynnwood, WA
- NPI 1104305093
- 8 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1418 164Th St Sw Ste 100
Lynnwood, WA 980878500
(425) 742-8828
Credentials & registration
- NPI registered
- August 2018 — 8 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Washington #60868937
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104305093. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$46
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medical Device Business Services, INC. | 2 | $46.09 |
By nature of payment
Frequently asked questions
What is Dr. Jason Park's medical specialty?
Dr. Jason Park practices General Practice Dentistry in Lynnwood, WA.
Where does Dr. Jason Park practice?
Dr. Jason Park practices at 1418 164Th St Sw Ste 100, Lynnwood, WA 980878500. Office phone: 4257428828.
What is Dr. Jason Park's NPI?
Dr. Jason Park's National Provider Identifier (NPI) is 1104305093, issued by NPPES.