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JUNG WON PARK DDS
NPI 1043983364
Dentist in Tyler, TX

Active since August 02, 2021
212 OLD GRANDE BLVD STE B224, TYLER, TX 75703(903) 509-0505 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jung Won Park Dds NPPES

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

JUNG WON PARK DDS (NPI 1043983364) is an individual dentist in Tyler, Texas, licensed in Texas (37630) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1043983364
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJUNG WON PARKCredential: DDS
Location Address212 OLD GRANDE BLVD STE B224Tyler, TX 75703-4277
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680 · (225) 324-2493
Phone(903) 509-0505
Sole ProprietorNo
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1043983364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 37630
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.
212 OLD GRANDE BLVD STE B224, Tyler, TX 75703
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Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

PROFESSIONAL DENTAL ALLIANCE OF TX 43004 PLLC
Dentist (General Practice)
212 OLD GRANDE BLVD STE B224
TYLER, TX 75703
Smith County (903) 509-0505
BRUNA LEMOS KENNEDY DDS
Dentist (General Practice)
212 OLD GRANDE BLVD STE B224
TYLER, TX 75703
Smith County (903) 509-0505
NAGA AZZARAPU
Dentist
212 OLD GRANDE BLVD STE B224
TYLER, TX 75703
Smith County (732) 757-9377
JANAKI KHOT
Dentist (Orthodontics and Dentofacial Orthopedics)
212 OLD GRANDE BLVD STE B224
TYLER, TX 75703
Smith County (903) 509-0505

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 Jung Won Park's NPI number?

The NPI number for Jung Won Park is 1043983364. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Jung Won Park located?

Jung Won Park practices at 212 Old Grande Blvd Ste B224, Tyler, TX 75703. The listed phone number is (903) 509-0505.

What is Jung Won Park's specialty?

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

What insurance does Jung Won Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Paramount list Jung Won 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 Jung Won Park was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.