Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104961192 Individual Practitioner Female Practitioner

Dr. Mioak K. Park , DDS

Dentist - General Practice • Fremont, CA

Professional Overview & Biography Verified Profile Summary

Dr. Mioak Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fremont, CA. Practice services are available at 39260 PASEO PADRE PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

39260 Paseo Padre Pkwy

Fremont, CA 945381616

Telephone 5107912111
Fax 5107910102

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fremont, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
161 Specialists

Practicing in Fremont, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 43837

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 01, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 01, 2011

Registered at 39260 PASEO PADRE PKWY, FREMONT, CA 945381616 (Tel: 5107912111)

📍
Updated Business Mailing Address June 01, 2011

Registered at 39260 PASEO PADRE PKWY, FREMONT, CA 945381616 (Tel: 5107912111)

👤
Provider Name / Credentials Updated June 01, 2011

Recorded as MIOAK PARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2011

Dentist (License #43837 in CA)

🟢
Initial NPI Registration & Enumeration February 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104961192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2007
Last Update: June 01, 2011
Sole Proprietor: Yes

Mailing Address

39260 Paseo Padre Pkwy

Fremont, CA 945381616

Phone: 5107912111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.