Healthcare Provider Details

I. General information

NPI: 1649118308
Provider Name (Legal Business Name): PARK & SMITH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3255 CALIFORNIA AVE SW
SEATTLE WA
98116-3304
US

IV. Provider business mailing address

3255 CALIFORNIA AVE SW
SEATTLE WA
98116-3304
US

V. Phone/Fax

Practice location:
  • Phone: 206-935-0100
  • Fax: 206-935-1300
Mailing address:
  • Phone: 206-935-0100
  • Fax: 206-935-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LUKE PARK
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 206-935-0100