Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. JU YEON PARK DDS
NPI 1417870809
Dentist - General Practice in West Sacramento, CA

Q: What is Ju Yeon Park's NPI number?

The NPI number for Ju Yeon Park is 1417870809. It was assigned to this individual provider in the NPPES registry on August 3, 2026.

Q: What is Ju Yeon 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 Ju Yeon Park was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 03, 2026

775 IKEA CT STE 130, WEST SACRAMENTO, CA 95605(916) 839-4983 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ju Yeon Park Dds NPPES

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

DR. JU YEON PARK DDS (NPI 1417870809) is an individual general practice provider in West Sacramento, California, licensed in California (113343) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1417870809

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JU YEON PARKCredential: DDS

Location Address775 IKEA CT STE 130West Sacramento, CA 95605-1663

Mailing Address775 Ikea Ct Ste 130West Sacramento, CA 95605-1663 · (916) 839-4983

Phone(916) 839-4983

Sole ProprietorNo

Enumeration DateAugust 3, 2026

NPPES CertifiedAugust 3, 2026

✔ NPI 1417870809 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 · 113343

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.

775 IKEA CT STE 130, West Sacramento, CA 95605

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Other Providers at the Same Location NPPES 2

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

GURJOT KAUR BHATIA DDS, MS, BDS

Dentist (General Practice)

775 IKEA CT STE 130
WEST SACRAMENTO, CA 95605

Yolo County (916) 839-4983

DENTISTS OF WEST SACRAMENTO, INC

Dentist (General Practice)

775 IKEA CT STE 130
WEST SACRAMENTO, CA 95605

Yolo County (916) 839-4983

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 Ju Yeon Park's NPI number?

The NPI number for Ju Yeon Park is 1417870809. It was assigned to this individual provider in the NPPES registry on August 3, 2026.

Where is Ju Yeon Park located?

Ju Yeon Park practices at 775 Ikea Ct Ste 130, West Sacramento, CA 95605. The listed phone number is (916) 839-4983.

What is Ju Yeon 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 Ju Yeon Park was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.