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

Individual provider Dentist · NPI 1346738564

Jisung Park, DDS is a Dentist in Buffalo, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
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.

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Practice location Address checks out

3557 Union Rd
Buffalo, NY 14225-5123
Phone: (716) 651-0099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6020 35th Ave Sw, Seattle, WA 98126-3002 — (206) 461-6966

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 060540 (NY)

Record details

NPI number1346738564
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 24, 2018
Last updated in NPPESAugust 6, 2019

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