JIN PARK NPI 1801246715

NPI Information

NPI: 1801246715
Provider Name: JIN PARK
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
507 W STAN SCHLUETER LOOP STE 400
KILLEEN, TX
ZIP 76542
Phone: (254) 870-9209
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Jin Park is an oral and maxillofacial surgery dentist in Killeen, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Jin Park NPI is 1801246715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

507 W STAN SCHLUETER LOOP STE 400
KILLEEN, TX
ZIP 76542-877
Phone: (254) 870-9209

The enumeration date for this NPI number is 6/21/2016 and was last updated on 7/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	39421	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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