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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOSEPH WON-JOON PARK D.M.D
NPI 1205813227
Dentist - Oral and Maxillofacial Surgery in Columbia, SC

Active since December 30, 2005PECOS Enrolled
1755 SAINT JULIAN PL, COLUMBIA, SC 29204(803) 254-2972(803) 799-2151 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Joseph Won-joon Park D.m.d NPPES

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

DR. JOSEPH WON-JOON PARK D.M.D (NPI 1205813227) is an individual oral and maxillofacial surgery provider in Columbia, South Carolina, licensed in South Carolina (3613) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1999).

NPPES Registry Identity

NPI1205813227
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOSEPH WON-JOON PARKCredential: D.M.D
Location Address1755 SAINT JULIAN PLColumbia, SC 29204-2409
Mailing Address1755 Saint Julian PlColumbia, SC 29204-2409 · (803) 254-2972 · Fax (803) 799-2151
Phone(803) 254-2972
Fax(803) 799-2151
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1999
Enumeration DateDecember 30, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1205813227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SC · 3613
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1755 SAINT JULIAN PL, Columbia, SC 29204
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Other Identifiers 1

MedicaidZX3613SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph Won-joon Park D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294730180
PECOS Enrollment IDI20060927000579
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. HEATH MCALVIN STEWART D.M.D
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972
MIDLANDS ORAL AND MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972
DR. JAMES LEMON D.M.D
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972
DR. DAVID BRIAN TEVEPAUGH D.M.D
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972

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 Joseph Park's NPI number?

The NPI number for Joseph Park is 1205813227. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Joseph Park located?

Joseph Park practices at 1755 Saint Julian Pl, Columbia, SC 29204. The listed phone number is (803) 254-2972.

What is Joseph Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Joseph Park enrolled in Medicare?

Yes. Joseph Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Park was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.