1. Home
  2. Directory
  3. Florida
  4. Winter Haven
  5. Dentist
  6. NPI Profile

DR. JOHN I PARK DMD
NPI 1295754018
Dentist - General Practice in Winter Haven, FL

Active since July 19, 2006
400 AVENUE K SE, STE 12, WINTER HAVEN, FL 33880(863) 293-0023 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2017, Mar 31, 2016 (2 updates tracked since 2016).

About Dr. John I Park Dmd NPPES

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

DR. JOHN I PARK DMD (NPI 1295754018) is an individual general practice provider in Winter Haven, Florida, licensed in Florida (DN14475) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1295754018
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN I PARKCredential: DMD
Location Address400 AVENUE K SE, STE 12Winter Haven, FL 33880-4145
Mailing Address400 Avenue K Se, Ste 12Winter Haven, FL 33880 · (863) 293-0023
Phone(863) 293-0023
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 6, 20172 updates tracked since enumeration
✔ NPI 1295754018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN14475
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.
400 AVENUE K SE, Winter Haven, FL 33880
Open in Google Maps ↗

Other Identifiers 1

Other59-355-5785FL · Tax Id Number

Other Providers at the Same Location NPPES 14

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

LARUE AND LARUE PEDIATRICS
Specialist
400 AVENUE K SE, STE 5
WINTER HAVEN, FL 33880
Polk County (863) 293-3909
DR. RIGO CORNEJO DMD MD
Dentist (Oral and Maxillofacial Surgery)
400 AVENUE K SE, SUITE #14A
WINTER HAVEN, FL 33880
Polk County (863) 294-7648
RADIOLOGY CONSULTANTS IMAGING CENTER LLC
Clinic/Center (Radiology)
400 AVENUE K SE, BUILDING 4
WINTER HAVEN, FL 33880
Polk County (863) 292-0297
INTERNAL MEDICINE GROUP OF WINTER HAVEN,P.A.
Internal Medicine
400 AVENUE K SE, SUITE 11
WINTER HAVEN, FL 33880
Polk County (863) 294-4404
DR. DAVID C NEAL DDS
Dentist (Oral and Maxillofacial Surgery)
400 AVENUE K SE, SUITE #14A
WINTER HAVEN, FL 33880
Polk County (863) 294-7648
EVE JOHNSON PA-C
Physician Assistant (Medical)
400 AVENUE K SE, SUITE 11
WINTER HAVEN, FL 33880
Polk County (863) 294-4404
WINTER HAVEN ORAL SURGERY, PA
Dentist (Oral and Maxillofacial Surgery)
400 AVENUE K SE, SUITE # 14A
WINTER HAVEN, FL 33880
Polk County (863) 294-7648
TAMARA PISTORIA D.O.
Pediatrics
400 AVENUE K SE, STE 5
WINTER HAVEN, FL 33880
Polk County (863) 293-3909

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 John Park's NPI number?

The NPI number for John Park is 1295754018. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is John Park located?

John Park practices at 400 Avenue K SE Ste 12, Winter Haven, FL 33880. The listed phone number is (863) 293-0023.

What is John 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 John Park was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.