DR. SOON JUN PARK DDS
NPI 1215615489
Dentist - General Practice in Redlands, CA

Q: What is Soon Jun Park's NPI number?

The NPI number for Soon Jun Park is 1215615489. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Q: What is Soon Jun Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soon Jun Park was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 07, 2023

26000 W LUGONIA AVE APT 3418, REDLANDS, CA 92374(909) 589-4466 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Soon Jun Park Dds NPPES

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

DR. SOON JUN PARK DDS (NPI 1215615489) is an individual general practice provider in Redlands, California, licensed in California (103838) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1215615489

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SOON JUN PARKCredential: DDS

Location Address26000 W LUGONIA AVE APT 3418Redlands, CA 92374-5110

Mailing Address26000 W Lugonia Ave Apt 3418Redlands, CA 92374-5110

Phone(909) 589-4466

Sole ProprietorNo

Enumeration DateJuly 7, 2023

NPPES CertifiedJuly 7, 2023

✔ NPI 1215615489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 103838

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.

26000 W LUGONIA AVE APT 3418, Redlands, CA 92374

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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 Soon Jun Park's NPI number?

The NPI number for Soon Jun Park is 1215615489. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Soon Jun Park located?

Soon Jun Park practices at 26000 W Lugonia Ave Apt 3418, Redlands, CA 92374. The listed phone number is (909) 589-4466.

What is Soon Jun 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 Soon Jun Park was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.