Dr. Yong S Park, DDS
Dentist, General Practice in Fairfield, Connecticut
1972027225- Practice location
- 2452 Black Rock Tpke Ste 12, Fairfield, CT 06825-2417
- Phone
- 203-372-9848
- Fax
- —
- Last updated
- September 30, 2026
Yong Suel Park is a Dentist, General Practice based in Fairfield, CT. Yong Suel Park practices in Fairfield, CT and has the professional credentials of DDS. The NPI Number for Yong Suel Park is 1972027225 and holds a License No. 11859 (CT). The current practice location address for Yong Suel Park is 2452 Black Rock Tpke Ste 12, Fairfield, CT 06825-2417 and can be reached out via phone at 203-372-9848.
Provider Profile Details
- NPI Number
- 1972027225
- Provider Name
- Yong Suel Park
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2452 Black Rock Tpke Ste 12, Fairfield, CT 06825-2417
- Phone Number
- 203-372-9848
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 28, 2017
- Last Update Date
- September 30, 2026
- Certification Date
- September 30, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2452 Black Rock Tpke Ste 12
Fairfield, CT 06825-2417 - City
- Fairfield
- State
- Connecticut
- Zip
- 06825-2417
- Phone Number
- 203-372-9848
Provider Business Mailing Address Details
- Address
- Po Box 195
Vernon, NJ 07462-0195 - City
- Vernon
- State
- NJ
- Zip
- 07462-0195
- Phone Number
- 716-449-3067
License Information
- License Number
- 11859
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Yong S Park, DDS?
The NPI number of Dr. Yong S Park, DDS is 1972027225. It was assigned on July 28, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Yong S Park, DDS?
Dr. Yong S Park, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 11859.
Where does Dr. Yong S Park, DDS practice?
The practice location is 2452 Black Rock Tpke Ste 12, Fairfield, CT 06825-2417. The office can be reached at 203-372-9848 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972027225 directly on the NPPES registry website.