SOYEON PARK
NPI 1093365017
Dentist in Chino Hills, CA

Q: What is Soyeon Park's NPI number?

The NPI number for Soyeon Park is 1093365017. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Q: What is Soyeon 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 Soyeon Park was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 12, 2019

3410 GRAND AVE, CHINO HILLS, CA 91709(909) 364-0027 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Soyeon Park NPPES

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

SOYEON PARK (NPI 1093365017) is an individual dentist in Chino Hills, California, licensed in California (104386) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1093365017

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSOYEON PARK

Location Address3410 GRAND AVEChino Hills, CA 91709-1473

Mailing Address6806 Bank Side DrJurupa Valley, CA 91752-2725 · (415) 999-4841

Phone(909) 364-0027

Sole ProprietorNo

Enumeration DateSeptember 12, 2019

✔ NPI 1093365017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 104386

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.

3410 GRAND AVE, Chino Hills, CA 91709

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Paramount, Renaissance Dental.Insurance ›

Other Providers at the Same Location NPPES 6

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

RODGERS AND SAMBANGI DENTAL CORPORATION

Dentist (General Practice)