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

Jason Park, DDS

Individual provider General Practice Dentistry · NPI 1104305093

Jason Park, DDS is a General Practice Dentistry in Lynnwood, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2018
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

1418 164th St SW Ste 100
Lynnwood, WA 98087-8500
Phone: (425) 742-8828
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 60868937 (WA)

Record details

NPI number1104305093
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 10, 2018
Last updated in NPPESAugust 10, 2018

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