Dr. John Joontae Park , DDS
Dentist - General Practice • Portland, OR
Professional Overview & Biography Verified Profile Summary
Dr. John Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 2100 NE BROADWAY ST STE 205 under active NPI credentials.
Practice Location & Contact Primary Location
2100 Ne Broadway St Ste 205
Portland, OR 972321500
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Portland, OR
Practicing in Portland, OR (1994 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-10-21NUCC 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.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Medicine, PC
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 2100 NE BROADWAY ST STE 205, PORTLAND, OR 972321500 (Tel: 5032842893)
Registered at 2100 NE BROADWAY ST STE 205, PORTLAND, OR 972321500 (Tel: 5032842893)
Student in an Organized Health Care Education/Training Program
Registered at 9997 SE 82ND AVE, HAPPY VALLEY, OR 970862301 (Tel: 5032249009)
Dentist (License #D10627 in OR)
NPI status registered as active in NPPES database
Registered at 8829 HAWTHORNE CT, ELLICOTT CITY, MD 210433317 (Tel: 4104650602)
Registered at 8829 HAWTHORNE CT, ELLICOTT CITY, MD 210433317 (Tel: 4104650602)
Recorded as JOHN PARK, D.D.S.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2100 Ne Broadway St Ste 205
Portland, OR 972321500
Phone: 5032842893
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.