Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Hosan Park, DDS

Individual provider Periodontics · NPI 1104363019

Dr. Hosan Park, DDS is a Periodontics in Kent, Washington. Works from 2 locations. Licensed in Illinois and Washington.

Licensed in
IL, WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

25610 104th Ave SE
Kent, WA 98030-7610
Phone: (253) 850-9777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9730 3rd Ave Ne Ste 205, Seattle, WA 98115-2023 — (206) 367-6453

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DE60722033 (WA)
Periodontics Taxonomy 1223P0300X · Licence 019.031420 (IL)

Record details

NPI number1104363019
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 30, 2017
Last updated in NPPESApril 14, 2018

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