IndividualActive
Jay Park
NPI 1821797366 · Oral & Maxillofacial Surgery (D.M.D.) · Seattle, WA
Provider details
- NPI number
- 1821797366
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1959 Ne Pacific St
Seattle, WA 98195-0001
Phone: (415) 489-0499
Approximate (ZIP-level) locationGet directions
Mailing address
1959 Ne Pacific Street Box 357134
Seattle, WA 98195-0001
Registry dates
- Enumerated
- 2023-02-23
- Last updated
- 2023-07-01
- Certified
- 2023-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.