# STEPHEN B. PARK, DMD, PLLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568310704
- **Authorized official:** DR. STEPHEN B. PARK DMD (OWNER/DOCTOR)
- **Authorized official phone:** (253) 561-3731

## Contact information

- **Practice address:** 4000 E MADISON ST STE 201, SEATTLE, WA 98112-3160
- **Practice address phone:** (206) 323-5677
- **Mailing address:** 4000 E MADISON ST STE 201, SEATTLE, WA 98112-3160
- **Mailing address phone:** (206) 323-5677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2026
- **Last updated:** 03/20/2026