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JIN WOO PAK
NPI 1508311457
Dentist - General Practice in Fort Irwin, CA

Active since August 22, 2016
171 INNER LOOP ROAD, FORT IRWIN, CA 92310(760) 380-3166 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jin Woo Pak NPPES

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

JIN WOO PAK (NPI 1508311457) is an individual general practice provider in Fort Irwin, California, licensed in Utah (9829781-9921) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1508311457
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJIN WOO PAK
Location Address171 INNER LOOP ROADFort Irwin, CA 92310
Mailing Address171 Inner Loop RoadFort Irwin, CA 92310 · (760) 380-1663
Phone(760) 380-3166
Sole ProprietorNo
Enumeration DateAugust 22, 2016
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 16, 2023
✔ NPI 1508311457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 9829781-9921
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.
171 INNER LOOP ROAD, Fort Irwin, CA 92310
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Other Providers at the Same Location NPPES 5

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

DR. STEPHANIE CHUNG LEE DDS
Dentist
171 INNER LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (760) 380-3166
TYRIN DMARQUE JAMES CLAXTON DA
Dental Assistant
171 INNER LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (719) 526-5537
PORSHA SHIKERA BELL X2
Dental Assistant
171 INNER LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (195) 265-5377
GARY ROBERT HERRON III
Dentist (General Practice)
171 INNER LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (915) 742-2685
ANNALYNE KATE TEH FRANCIS
Dental Assistant
171 INNER LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (719) 526-5537

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 Jin Woo Pak's NPI number?

The NPI number for Jin Woo Pak is 1508311457. It was assigned to this individual provider in the NPPES registry on August 22, 2016.

Where is Jin Woo Pak located?

Jin Woo Pak practices at 171 Inner Loop Road, Fort Irwin, CA 92310. The listed phone number is (760) 380-3166.

What is Jin Woo Pak'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 Jin Woo Pak was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.