Derek Park, DDS
Derek Park is a General Practice Dentistry provider (Dentist) practicing in Monroe, WA, registered in the NPPES registry with NPI 1700778172 since 2025. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700778172 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Derek Park |
| Credential | DDS |
| Sex | Male |
| Practice address | 623 W MAIN ST, Monroe, WA, 98272 |
| Phone | 3608059060 |
| Enumeration date | 2025-07-18 |
| Last updated in NPPES | 2025-07-18 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 61691554 | WA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Derek Park, DDS NPI: 1700778172 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 623 W MAIN ST, Monroe, WA, 98272
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285994103 | Ddk, Pllc | Organization | Dental Clinic/Center | Monroe, WA |
| 1275353989 | Timothy Quirt, Mongrain, Gibree, P.C. | Organization | Dentist | Monroe, WA |
Verify this record
Cross-check NPI 1700778172 against the authoritative CMS record: view Derek Park on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-18.