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JI YEON PARK
NPI 1205193653
Dentist in Mountain View, CA

Active since April 23, 2012
1702 MIRAMONTE AVE STE B, MOUNTAIN VIEW, CA 94040(650) 282-5555(650) 282-5051 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ji Yeon Park NPPES

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

JI YEON PARK (NPI 1205193653) is an individual dentist in Mountain View, California, licensed in California (56024) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1205193653
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJI YEON PARK
Location Address1702 MIRAMONTE AVE STE BMountain View, CA 94040-3773
Mailing Address1702 Miramonte Ave Ste BMountain View, CA 94040-3773 · (650) 282-5555 · Fax (650) 282-5051
Phone(650) 282-5555
Fax(650) 282-5051
Sole ProprietorNo
Enumeration DateApril 23, 2012
✔ NPI 1205193653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 56024
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.
1702 MIRAMONTE AVE STE B, Mountain View, CA 94040
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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 Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. HUAYANG JOHN WU DDS, MS
Dentist (General Practice)
1702 MIRAMONTE AVE STE B
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 718-5086
HUAYANG JOHN WU, DDS, INC.
Clinic/Center (Dental)
1702 MIRAMONTE AVE STE B
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 718-5086

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 Ji Yeon Park's NPI number?

The NPI number for Ji Yeon Park is 1205193653. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Ji Yeon Park located?

Ji Yeon Park practices at 1702 Miramonte Ave Ste B, Mountain View, CA 94040. The listed phone number is (650) 282-5555.

What is Ji Yeon Park's specialty?

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

What insurance does Ji Yeon Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Ji Yeon 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 Ji Yeon Park was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.