Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346079001 Individual Practitioner Male Practitioner

Dr. Ki Don Park , DDS

Dentist • Reno, NV

Professional Overview & Biography Verified Profile Summary

Dr. Ki Park, DDS is a registered healthcare professional specializing in Dentist in Reno, NV. Practice services are available at 6395 S MCCARRAN BLVD STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6395 S Mccarran Blvd Ste B

Reno, NV 895096101

Telephone 7758239419
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Reno, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
106 Specialists

Practicing in Reno, NV (886 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

CMS Verified: 2024-07-31
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NV 8090

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1083331367
Dr. Robert Mitchell , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1205053576

Doctor of Dental Surgery, Master of Science

Dr. Kurt Brockman , DDS

Dentist - General Practice

NPI 1295706026

Doctor of Dental Surgery

Dr. Gabriel Smith , DMD

Dentist - Endodontics

NPI 1366797144

Doctor of Dental Medicine

Peter Naaman

Student in an Organized Health Care Education/Training Program

NPI 1609707215
Dr. Heather Olson , DMD

Dentist - General Practice

NPI 1821519877

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 31, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2024

Registered at 6395 S MCCARRAN BLVD STE B, RENO, NV 895096101 (Tel: 7758239419)

📍
Updated Business Mailing Address July 31, 2024

Registered at 2060 EXPERIENCE AVE UNIT 537, RENO, NV 895021397 (Tel: 2135000135)

👤
Provider Name / Credentials Updated July 31, 2024

Recorded as KI PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2024

Dentist (License #8090 in NV)

🟢
Initial NPI Registration & Enumeration July 31, 2024

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: 1346079001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2024
Last Update: July 31, 2024
Sole Proprietor: No

Mailing Address

2060 Experience Ave Unit 537

Reno, NV 895021397

Phone: 2135000135

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.