Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN JOONTAE PARK, D.D.S.
ActiveJOHN JOONTAE PARK, D.D.S. is a General Dentistry healthcare provider located in PORTLAND, Oregon. NPI 1558718437 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PORTLAND, OR
Registration Details
- NPI Number
- 1558718437
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2016 (10.257922401659 yrs)
- Last Updated
- Oct 21, 2024
- License
-
D10627 (OR)
Practice Information
- Address
-
2100 NE BROADWAY ST STE 205PORTLAND, OR, 972321500Browse OR providers · Browse ZIP 97232
- Phone
- 5032842893
- Fax
- 5032872016
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFERY C. SPATHAS | D.M.D. | 1306849393 |
| PROF. REBECCA K MORISSE | DMD | 1306841721 |
| DR. RICKLAND GENE ASAI | DMD | 1922003292 |
| DR. JONATHAN VINCENT ROXAS | DDS | 1710982830 |
| DR. JONNA ELIZABETH HONGO | DMD | 1932104825 |
| DR. JOHN ARTHUR MCCOMB | D.M.D. | 1437154465 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.