DR. JONGGOO PARK DDS
NPI 1003394313
Dentist in Fountain Valley, CA

Q: What is Jonggoo Park's NPI number?

The NPI number for Jonggoo Park is 1003394313. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Q: What is Jonggoo Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jonggoo Park was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2018

18444 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(714) 962-2471(714) 968-6411 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2022, Jul 30, 2018 (2 updates tracked since 2018).

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About Dr. Jonggoo Park Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONGGOO PARK DDS (NPI 1003394313) is an individual dentist in Fountain Valley, California, licensed in California (102883) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1003394313

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JONGGOO PARKCredential: DDS

Location Address18444 BROOKHURST STFountain Valley, CA 92708-6706

Mailing Address18444 Brookhurst StFountain Valley, CA 92708-6706 · (714) 962-2471 · Fax (714) 968-6411

Phone(714) 962-2471

Fax(714) 968-6411

Sole ProprietorNo

Enumeration DateJuly 30, 2018

Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration

NPPES CertifiedMarch 4, 2022

✔ NPI 1003394313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 102883

Definition

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.

18444 BROOKHURST ST, Fountain Valley, CA 92708

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JBS PACIFIC, INC

Clinic/Center (Dental)

18444 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 962-2471

DR. BJARNE KVARNSTROM DDS

Dentist (General Practice)

18444 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 962-2471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonggoo Park's NPI number?

The NPI number for Jonggoo Park is 1003394313. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Jonggoo Park located?

Jonggoo Park practices at 18444 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (714) 962-2471.

What is Jonggoo Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jonggoo Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Jonggoo Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonggoo Park was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.