JUSTYN PARK
NPI 1053193524
Dentist - Orthodontics and Dentofacial Orthopedics in Rocklin, CA

Active since October 18, 2023
6522 LONETREE BLVD, ROCKLIN, CA 95765(916) 773-6565 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justyn Park NPPES

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

JUSTYN PARK (NPI 1053193524) is an individual orthodontics and dentofacial orthopedics provider in Rocklin, California, licensed in California (DDS106782) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1053193524
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameJUSTYN PARK
Location Address6522 LONETREE BLVDRocklin, CA 95765-5874
Mailing Address1714 21st St Apt 423Sacramento, CA 95811-6882 · (628) 228-7154
Sole ProprietorYes
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
NPI 1053193524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · DDS106782
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
6522 LONETREE BLVD, Rocklin, CA 95765

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Dentist
6522 LONETREE BLVD
ROCKLIN, CA 95765
Dentist (General Practice)
6522 LONETREE BLVD
ROCKLIN, CA 95765
Dentist (Pediatric Dentistry)
6522 LONETREE BLVD
ROCKLIN, CA 95765

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 Justyn Park's NPI number?

The NPI number for Justyn Park is 1053193524. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Justyn Park located?

Justyn Park practices at 6522 Lonetree Blvd, Rocklin, CA 95765. The listed phone number is (916) 773-6565.

What is Justyn Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Justyn Park was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.