DR. YONG JUN DAVID PARK DDS MD NPI 1215114301

NPI Information

  • NPI: 1215114301
  • Provider Name: DR. YONG JUN DAVID PARK, DDS MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 12777 VALLEY VIEW ST STE 121
    GARDEN GROVE, CA
    ZIP 92845
  • Phone: (714) 897-3543

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NPI Details

DR. Yong Jun David Park, DDS MD is an oral and maxillofacial surgery dentist in Garden Grove, CA. 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. DR. Yong Jun David Park, DDS MD NPI is 1215114301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12777 VALLEY VIEW ST STE 121
GARDEN GROVE, CA
ZIP 92845-521
Phone: (714) 897-3543
Fax: (714) 897-0505

The enumeration date for this NPI number is 1/30/2008 and was last updated on 9/25/2019.

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
11223S0112XDentistOral and Maxillofacial Surgery52768CALIFORNIAYes

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: 11/21/2025

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