Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295754018 Individual Practitioner Male Practitioner

Dr. John I Park , DMD

Dentist - General Practice • Winter Haven, FL

Professional Overview & Biography Verified Profile Summary

Dr. John Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Winter Haven, FL. Practice services are available at 400 AVENUE K SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Avenue K Se
Ste 12

Winter Haven, FL 338804145

Telephone 8632930023
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Winter Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Winter Haven, FL (7473 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 FL DN14475

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Rigo Cornejo , DMD MD

Dentist - Oral and Maxillofacial Surgery

NPI 1083637334

DMDMD

Dr. David Neal , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1376550509

Doctor of Dental Surgery

Eve Johnson , PA-C

Physician Assistant - Medical

NPI 1417944000

Physician Assistant (Certified)

Dr. Richard White , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1720007594

Doctor of Dental Surgery

Mary Sleght , ARNP

Nurse Practitioner - Primary Care

NPI 1730167685

Advanced Registered Nurse Practitioner

Dr. Robin Baker , MD

Internal Medicine

NPI 1881699718

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2017

Registered at 400 AVENUE K SE, STE 12, WINTER HAVEN, FL 338804145 (Tel: 8632930023)

📍
Updated Business Mailing Address January 06, 2017

Registered at 400 AVENUE K SE, STE 12, WINTER HAVEN, FL 33880 (Tel: 8632930023)

👤
Provider Name / Credentials Updated January 06, 2017

Recorded as JOHN PARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2017

Dentist (License #DN14475 in FL)

🟢
Initial NPI Registration & Enumeration July 19, 2006

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: 1295754018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: January 06, 2017
Sole Proprietor: Yes

Mailing Address

400 Avenue K Se, Ste 12

Winter Haven, FL 33880

Phone: 8632930023

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.