Dr. Jaechan Park , DDS
Dentist - General Practice • Gardena, CA
Professional Overview & Biography Verified Profile Summary
Dr. Jaechan Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Gardena, CA. Practice services are available at 15201 S WESTERN AVE under active NPI credentials.
Practice Location & Contact Primary Location
15201 S Western Ave
Gardena, CA 902494314
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Gardena, CA
Practicing in Gardena, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2023-03-13NUCC Taxonomy Code: 1223G0001X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
2421 E Tudor Rd Ste 101
Anchorage, AK 995071166
Phone: 9072226000
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Career & Practice History Timeline
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Registered at 15201 S WESTERN AVE, GARDENA, CA 902494314 (Tel: 3104007705)
Registered at 614 INVERNESS CT, FULLERTON, CA 928352776 (Tel: 6264540159)
NPI status registered as active in NPPES database
Registered at 2421 E TUDOR RD STE 101, ANCHORAGE, AK 995071166 (Tel: 9072226000)
Registered at 2421 E TUDOR RD STE 101, ANCHORAGE, AK 995071166 (Tel: 9072226000)
Recorded as JAECHAN PARK, D.D.S.
Dentist (License #49972 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
614 Inverness Ct
Fullerton, CA 928352776
Phone: 6264540159
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