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DR. IN KOOK PARK DMD
NPI 1053485060
Dentist - General Practice in Blue Bell, PA

Active since November 20, 2006
1732 DEKALB PIKE, BLUE BELL, PA 19422(610) 278-1110(610) 278-1852 Get Directions Write a Review

NPPES record last updated: October 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. In Kook Park Dmd NPPES

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

DR. IN KOOK PARK DMD (NPI 1053485060) is an individual general practice provider in Blue Bell, Pennsylvania, licensed in Pennsylvania (DS035609) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1053485060
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IN KOOK PARKCredential: DMD
Location Address1732 DEKALB PIKEBlue Bell, PA 19422-3352
Mailing Address1732 Dekalb PikeBlue Bell, PA 19422-3352 · (610) 278-1110 · Fax (610) 278-1852
Phone(610) 278-1110
Fax(610) 278-1852
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateOctober 18, 2008
✔ NPI 1053485060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS035609
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1732 DEKALB PIKE, Blue Bell, PA 19422
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Other Identifiers 2

Medicaid101079572PA
Medicare ID-Type Unspecified101079572PA

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 In Kook Park's NPI number?

The NPI number for In Kook Park is 1053485060. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is In Kook Park located?

In Kook Park practices at 1732 Dekalb Pike, Blue Bell, PA 19422. The listed phone number is (610) 278-1110.

What is In Kook Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for In Kook Park was last updated on October 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.