Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497537161 Individual Practitioner Male Practitioner

Joshua Jaeyoon Park

Dentist - General Practice • Tillamook, OR

Professional Overview & Biography Verified Profile Summary

Joshua Park is a registered healthcare professional specializing in Dentist - General Practice in Tillamook, OR. Practice services are available at 1010 MAIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1010 Main Ave

Tillamook, OR 971413818

Telephone 5038427788
Associated Practice Facility / Clinic
🏢 Sandcreek Dental Llc Facility NPI 1952669657

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tillamook, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Tillamook, OR (1994 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: 2023-10-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11897

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

3 Associated Practitioners
Dr. Joy Sigurdson , DMD

Dentist - General Practice

NPI 1366361255

Doctor of Dental Medicine

Dr. Cyrus Javadi , DDS

Dentist - General Practice

NPI 1811159759

Doctor of Dental Surgery

Dr. Brett Hestmark , DMD

Dentist - General Practice

NPI 1881693851

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 October 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2023

Registered at 1010 MAIN AVE, TILLAMOOK, OR 971413818 (Tel: 5038427788)

📍
Updated Business Mailing Address October 18, 2023

Registered at 26086 LUGO DR, LOMA LINDA, CA 923546507

👤
Provider Name / Credentials Updated October 18, 2023

Recorded as JOSHUA PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2023

Dentist (License #D11897 in OR)

🟢
Initial NPI Registration & Enumeration October 18, 2023

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: 1497537161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2023
Last Update: October 18, 2023
Sole Proprietor: Yes

Mailing Address

26086 Lugo Dr

Loma Linda, CA 923546507

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.