Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801633730 Individual Practitioner Male Practitioner

Dr. Jake Park , DDS

Dentist - General Practice • Cleburne, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jake Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Cleburne, TX. Practice services are available at 1661 W HENDERSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1661 W Henderson St

Cleburne, TX 760334230

Telephone 6823175111

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cleburne, TX

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

Practicing in Cleburne, 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: 2024-07-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 40767

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.

Secondary Practice Locations

540 Coyote Canyon Way

Brea, CA 928213530

Phone: 7147887883

Practice Associates & Co-Workers

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

1 Associated Practitioners
Anum Raza

Dentist

NPI 1497692248

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2024

Registered at 1661 W HENDERSON ST, CLEBURNE, TX 760334230 (Tel: 6823175111)

📍
Updated Business Mailing Address July 09, 2024

Registered at 540 COYOTE CANYON WAY, BREA, CA 928213530 (Tel: 7145043579)

👤
Provider Name / Credentials Updated July 09, 2024

Recorded as JAKE PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2024

Dentist (License #40767 in TX)

🟢
Initial NPI Registration & Enumeration July 09, 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: 1801633730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2024
Last Update: July 09, 2024
Sole Proprietor: No

Mailing Address

540 Coyote Canyon Way

Brea, CA 928213530

Phone: 7145043579

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.