OrganizationActive
Juwon Park DMD PC
NPI 1578045258 · Pediatric Dentistry · Albany, NY
Provider details
- NPI number
- 1578045258
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Park, President(347) 408-8673
- License
- 056491 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4 Executive Park Dr
Albany, NY 12203-3718
Phone: (347) 408-8673
Street-level locationGet directions
Mailing address
255 Patroon Creek Blvd Apt 1405
Albany, NY 12206-5019
Registry dates
- Enumerated
- 2018-08-30
- Last updated
- 2018-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.