MRS. SOONJIN PARK DDS
NPI 1194879965
Dentist in Reno, NV

Q: What is Soonjin Park's NPI number?

The NPI number for Soonjin Park is 1194879965. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Soonjin 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 Soonjin Park was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 22, 2007

10643 PROFESSIONAL CIR # 102, RENO, NV 89521(775) 737-4035(775) 737-4036 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Soonjin Park Dds NPPES

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

MRS. SOONJIN PARK DDS (NPI 1194879965) is an individual dentist in Reno, Nevada, licensed in Nevada (5588) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1194879965

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMRS. SOONJIN PARKCredential: DDS

Location Address10643 PROFESSIONAL CIR # 102Reno, NV 89521-5851

Mailing Address10643 Professional Cir # 102Reno, NV 89521-5851 · (775) 737-4035 · Fax (775) 737-4036

Phone(775) 737-4035

Fax(775) 737-4036

Sole ProprietorNo

Enumeration DateJanuary 22, 2007

Last NPPES UpdateSeptember 23, 2014

✔ NPI 1194879965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NV · 5588

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 54772 (CA)

10643 PROFESSIONAL CIR # 102, Reno, NV 89521

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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

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

DR. TERRY SONG DDS

Dentist

10643 PROFESSIONAL CIR # 102
RENO, NV 89521

Storey County (775) 737-4035

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 Soonjin Park's NPI number?

The NPI number for Soonjin Park is 1194879965. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Soonjin Park located?

Soonjin Park practices at 10643 Professional Cir # 102, Reno, NV 89521. The listed phone number is (775) 737-4035.

What is Soonjin Park's specialty?

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

What insurance does Soonjin 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 HRI Dental & Vision and 3 other insurers list Soonjin 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 Soonjin Park was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.