Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770040644 Individual Practitioner Male Practitioner

Dr. Jongwoo Joseph Park , DDS

Dentist - General Practice • Plano, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jongwoo Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Plano, TX. Practice services are available at 700 ALMA DR STE 109 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 Alma Dr Ste 109

Plano, TX 750758800

Telephone 9724236804
Associated Practice Facility / Clinic
🏢 Nexden Llc Facility NPI 1740995208

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Plano, TX

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

Practicing in Plano, 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: 2021-10-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 37096

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

1 Associated Practitioners
Dr. Sung Kim , DDS

Dentist - General Practice

NPI 1477818284

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 07, 2021

Registered at 700 ALMA DR STE 109, PLANO, TX 750758800 (Tel: 9724236804)

📍
Updated Business Mailing Address October 07, 2021

Registered at 700 ALMA DR STE 109, PLANO, TX 750758800

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2021

Dentist (License #37096 in TX)

📍
Updated Business Mailing Address August 18, 2020

Registered at 1321 SULLIVAN, IRVINE, CA 926144268

👤
Provider Name / Credentials Updated August 18, 2020

Recorded as JONGWOO PARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2020

Dentist (License #105330 in CA)

NPI Profile Active February 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2019

Registered at 1127 WILSHIRE BLVD STE 1504, LOS ANGELES, CA 90017 (Tel: 3233299900)

📍
Updated Business Mailing Address February 26, 2019

Registered at 5201 HEATHER DR APT 103, DEARBORN, MI 481262886 (Tel: 1031331612)

👤
Provider Name / Credentials Updated February 26, 2019

Recorded as JONGWOO PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 26, 2019

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: 1770040644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2019
Last Update: October 07, 2021
Sole Proprietor: Yes

Mailing Address

700 Alma Dr Ste 109

Plano, TX 750758800

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.