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Active NPI 1699916585 Individual Practitioner Male Practitioner

Dr. Joseph Park , DDS

Dentist - General Practice • Georgetown, TX

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Georgetown, TX. Practice services are available at 2411 WILLIAMS DR STE 111 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2411 Williams Dr Ste 111

Georgetown, TX 786283268

Telephone 8778005722
Fax 5128641447
Associated Practice Facility / Clinic
🏢 Lone Star Circle Of Care Facility NPI 1437109881

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Georgetown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
52 Specialists

Practicing in Georgetown, TX (10570 Statewide)

Telehealth Adoption Rate
1.9% 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 28680

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA DE60056279

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

2120 N Mays St Ste 430

Round Rock, TX 786642108

Phone: 8778005722

802 Avenue J

Marble Falls, TX 786545125

Phone: 8778005722

605 Old Austin Hwy

Bastrop, TX 786025034

Phone: 8778005722

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003341082

Doctor of Medicine (M.D.)

Dr. Jared Kealy , MD

Family Medicine

NPI 1003430208

Doctor of Medicine (M.D.)

Anjana Parad

Counselor - Professional

NPI 1003578618
Dr. Sue Moss , MD

Psychiatry & Neurology - Psychiatry

NPI 1013018597

Doctor of Medicine (M.D.)

NPI 1013171412

Doctor of Medicine (M.D.)

Vanessa Frassati , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013385624

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #DE60056279 in WA)

NPI Profile Active August 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2017

Registered at 2411 WILLIAMS DR STE 111, GEORGETOWN, TX 786283268 (Tel: 8778005722)

📍
Updated Business Mailing Address August 31, 2017

Registered at 205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 786266821 (Tel: (512) 686-0207)

👤
Provider Name / Credentials Updated August 31, 2017

Recorded as JOSEPH PARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2017

Dentist (License #DE60056279 in WA)

NPI Profile Active October 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2014

Registered at 2726 E BUSINESS 190, SUITE 112, COPPERAS COVE, TX 765222522 (Tel: 2545423500)

📍
Updated Business Mailing Address October 14, 2014

Registered at 2726 E BUSINESS 190, STE. 112, COPPERAS COVE, TX 765222522 (Tel: 2545423500)

👤
Provider Name / Credentials Updated October 14, 2014

Recorded as JOSEPH PARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2014

Dentist (License #28680 in TX)

🟢
Initial NPI Registration & Enumeration March 23, 2009

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: 1699916585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2009
Last Update: April 24, 2018
Sole Proprietor: Yes

Mailing Address

205 E University Ave Ste 200

Georgetown, TX 786266821

Phone: 8778005722

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.