Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BRANDON JOON PARK
NPI 1407779168
Dentist - General Practice in Twentynine Palms, CA

Active since July 31, 2026
1591 GRIFFIN ROAD, TWENTYNINE PALMS, CA 92278(760) 830-7052 Get Directions Write a Review

NPPES record added: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Joon Park NPPES

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

BRANDON JOON PARK (NPI 1407779168) is an individual general practice provider in Twentynine Palms, California, licensed in California (113482) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1407779168
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRANDON JOON PARK
Location Address1591 GRIFFIN ROADTwentynine Palms, CA 92278
Mailing Address1591 Griffin Road,Twentynine Palms, CA 92278
Sole ProprietorNo
Enumeration DateJuly 31, 2026
NPPES CertifiedJuly 17, 2026
NPI 1407779168 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 · 113482
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.
1591 GRIFFIN ROAD, Twentynine Palms, CA 92278

Other Providers at the Same Location NPPES 12

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

Dentist
1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278
Dentist (General Practice)
1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278
Dentist (General Practice)
1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278
Dentist (General Practice)
1591 GRIFFIN ROAD
FPO, AA 92278
Dentist
1591 GRIFFIN ROAD, 23RD DENTAL COMPANY
TWENTYNINE PALMS, CA 92278
Dentist (General Practice)
1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278
Dentist (Endodontics)
1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278
Military Health Care Provider
1591 GRIFFIN ROAD, 23RD DENTAL COMPANY
TWENTYNINE PALMS, CA 92278

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 Brandon Park's NPI number?

The NPI number for Brandon Park is 1407779168. It was assigned to this individual provider in the NPPES registry on July 31, 2026.

Where is Brandon Park located?

Brandon Park practices at 1591 Griffin Road, Twentynine Palms, CA 92278. The listed phone number is (760) 830-7052.

What is Brandon 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 Brandon Park was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.