JINWOO MICHAEL PARK D.D.S.
NPI 1316467004
Dentist - General Practice in Brooklyn, NY

Q: What is Jinwoo Park's NPI number?

The NPI number for Jinwoo Park is 1316467004. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Q: What is Jinwoo 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 Jinwoo Park was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 23, 2017

408 KNICKERBOCKER AVE FL 2, BROOKLYN, NY 11237(718) 573-3333 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 15, 2018, Jun 23, 2017 (3 updates tracked since 2017).

On this page

About Jinwoo Michael Park D.d.s. NPPES

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

JINWOO MICHAEL PARK D.D.S. (NPI 1316467004) is an individual general practice provider in Brooklyn, New York, licensed in New York (060007) and active in the NPI registry since June 2017. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1316467004

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJINWOO MICHAEL PARKCredential: D.D.S.

Location Address408 KNICKERBOCKER AVE FL 2Brooklyn, NY 11237

Mailing Address16 Stuyvesant Oval Apt 6bNew York, NY 10009-2238 · (646) 727-6981

Phone(718) 573-3333

Sole ProprietorYes

Enumeration DateJune 23, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1316467004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 060007

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.

408 KNICKERBOCKER AVE FL 2, Brooklyn, NY 11237

Open in Google Maps ↗

Secondary Practice Location 1

Location 116 Stuyvesant Oval Apt 6BNew York, NY 10009-2238 · Phone (646) 727-6981

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. KARIMEH HANI SHEHADEH DDS

Dentist (General Practice)

408 KNICKERBOCKER AVE FL 2
BROOKLYN, NY 11237

Kings County (650) 451-8834

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 Jinwoo Park's NPI number?

The NPI number for Jinwoo Park is 1316467004. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Jinwoo Park located?

Jinwoo Park practices at 408 Knickerbocker Ave Fl 2, Brooklyn, NY 11237. The listed phone number is (718) 573-3333.

What is Jinwoo 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 Jinwoo Park was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.