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Four Seasons Dental Care

NPI 1386812501ActiveOrganization· Dentist, General Practice· Flushing, NY

Dentist, General Practice in Flushing, New York, registered in NPPES in February 2008. The authorized official on file is Chongmin Park, D.D.S., President.

Overview

NPI1386812501
StatusActive
Entity typeOrganization
NPI issuedFeb 11, 2008
Last updated in NPPESFeb 11, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X050303NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Flushing

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