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

DR. JANICE PARK DMD
NPI 1497675235
Dentist - General Practice in Lodi, CA

Active since July 21, 2026
2610 REYNOLDS RANCH PKWY STE 100, LODI, CA 95240(209) 390-9379 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Janice Park Dmd NPPES

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

DR. JANICE PARK DMD (NPI 1497675235) is an individual general practice provider in Lodi, California, licensed in California (DDS113364) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1497675235
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JANICE PARKCredential: DMD
Location Address2610 REYNOLDS RANCH PKWY STE 100Lodi, CA 95240-6890
Mailing Address1450 4th St Apt 6Berkeley, CA 94710-1328 · (567) 249-6430
Phone(209) 390-9379
Sole ProprietorYes
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1497675235 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 · DDS113364
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.
2610 REYNOLDS RANCH PKWY STE 100, Lodi, CA 95240
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Other Providers at the Same Location NPPES 4

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

SONNY MAHARJAN
Dentist (General Practice)
2610 REYNOLDS RANCH PKWY STE 100
LODI, CA 95240
San Joaquin County (209) 390-9379
SOPHIA JIANG DMD
Dentist
2610 REYNOLDS RANCH PKWY STE 100
LODI, CA 95240
San Joaquin County (209) 390-9379
ISHDEEP KAUR DDS
Dentist (General Practice)
2610 REYNOLDS RANCH PKWY STE 100
LODI, CA 95240
San Joaquin County (408) 614-8715
AHMED YOUSIF MOHAMMED AL-BAYATTI DDS
Dentist (General Practice)
2610 REYNOLDS RANCH PKWY STE 100
LODI, CA 95240
San Joaquin County (209) 390-9379

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 Janice Park's NPI number?

The NPI number for Janice Park is 1497675235. It was assigned to this individual provider in the NPPES registry on July 21, 2026.

Where is Janice Park located?

Janice Park practices at 2610 Reynolds Ranch Pkwy Ste 100, Lodi, CA 95240. The listed phone number is (209) 390-9379.

What is Janice 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 Janice Park was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.