Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447863428 Individual Practitioner Female Practitioner

Dr. Kaeun Park , DMD

Dentist - General Practice • Arlington, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kaeun Park, DMD is a registered healthcare professional specializing in Dentist - General Practice in Arlington, TX. Practice services are available at 311 S BOWEN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

311 S Bowen Rd

Arlington, TX 760131255

Telephone 8173396140
Associated Practice Facility / Clinic
🏢 Ensenada Dental Pllc Facility NPI 1215554555

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Arlington, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
145 Specialists

Practicing in Arlington, TX (10570 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: 2020-08-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 36615

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2020

Registered at 311 S BOWEN RD, ARLINGTON, TX 760131255 (Tel: 8173396140)

📍
Updated Business Mailing Address August 28, 2020

Registered at 3203 MULBERRY HILL RD APT 205, COPPELL, TX 750195488

👤
Provider Name / Credentials Updated August 28, 2020

Recorded as KAEUN PARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2020

Dentist (License #36615 in TX)

🟢
Initial NPI Registration & Enumeration August 28, 2020

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: 1447863428
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2020
Last Update: August 28, 2020
Sole Proprietor: No

Mailing Address

3203 Mulberry Hill Rd Apt 205

Coppell, TX 750195488

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.