Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992017461 Individual Practitioner Male Practitioner

Dr. Jin Woo Park , DMD

Dentist • Cleburne, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jin Park, DMD is a registered healthcare professional specializing in Dentist in Cleburne, TX. Practice services are available at 1607 W HENDERSON ST STE K under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1607 W Henderson St Ste K

Cleburne, TX 760334179

Telephone 8175223166
Fax 8175223168
Associated Practice Facility / Clinic
🏢 Cleburne Dental Studio Pllc Facility NPI 1952824468

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Cleburne, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Cleburne, TX (6851 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: 2021-10-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 29792

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.

Secondary Practice Locations

310 Harmony Hill Rd

Grapevine, TX 760511134

Phone: 2672102725

126 N International Rd Ste A

Garland, TX 750426515

Phone: 9722727944

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 26, 2021

Registered at 1607 W HENDERSON ST STE K, CLEBURNE, TX 760334179 (Tel: 8175223166)

📍
Updated Business Mailing Address June 25, 2021

Registered at 1607 W HENDERSON ST STE #K, CLEBURNE, TX 76033 (Tel: 8175223166)

👤
Provider Name / Credentials Updated June 25, 2021

Recorded as JIN PARK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2021

Dentist (License #29792 in TX)

NPI Profile Active July 13, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2010

Registered at 4 S 4TH ST, READING, PA 196022820 (Tel: 6103759501)

📍
Updated Business Mailing Address July 13, 2010

Registered at 4 S 4TH ST, READING, PA 196022820

👤
Provider Name / Credentials Updated July 13, 2010

Recorded as JIN PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2010

Dentist (License #DS038279 in PA)

🟢
Initial NPI Registration & Enumeration July 13, 2010

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: 1992017461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2010
Last Update: October 27, 2021
Sole Proprietor: No

Mailing Address

1607 W Henderson St Ste #k

Cleburne, TX 76033

Phone: 8175223166

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.