YONG JIN PARK
NPI 1407789829
Dentist in Ansan, GYEONGGI-DO

Q: What is Yong Jin Park's NPI number?

The NPI number for Yong Jin Park is 1407789829. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Q: What is Yong Jin Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Yong Jin Park was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 05, 2026

SEVERANCE DENTAL CLINIC, #206 YONGHEON B/D, SEONBU-DONG, 1076-3, ANSAN, GYEONGGI-DO 15239 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Yong Jin Park NPPES

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

YONG JIN PARK (NPI 1407789829) is an individual dentist in Ansan, GYEONGGI-DO, licensed in California (112682) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1407789829

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameYONG JIN PARK

Location AddressSEVERANCE DENTAL CLINIC, #206 YONGHEON B/D, SEONBU-DONG, 1076-3Ansan, GYEONGGI-DO 15239

Mailing Address321 E David DrFlagstaff, AZ 86001-3243

Sole ProprietorNo

Enumeration DateJune 5, 2026

NPPES CertifiedJune 5, 2026

✔ NPI 1407789829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 112682

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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 Yong Jin Park's NPI number?

The NPI number for Yong Jin Park is 1407789829. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Where is Yong Jin Park located?

Yong Jin Park practices at Severance Dental Clinic, #206 Yongheon B/D, Seonbu-Dong 1076-3, Ansan, GYEONGGI-DO 15239.

What is Yong Jin Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Yong Jin Park was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.