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DR. JUN SUP PARK DDS
NPI 1669907663
Dentist in Downey, CA

Active since April 27, 2017
8612 FIRESTONE BLVD, DOWNEY, CA 90241(562) 382-1528 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2022, May 23, 2020, Apr 20, 2020 and 8 more (11 updates tracked since 2017).

About Dr. Jun Sup Park Dds NPPES

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

DR. JUN SUP PARK DDS (NPI 1669907663) is an individual dentist in Downey, California, licensed in California (107810) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1669907663
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JUN SUP PARKCredential: DDS
Location Address8612 FIRESTONE BLVDDowney, CA 90241-5243
Mailing Address8612 Firestone BlvdDowney, CA 90241-5243 · (562) 382-1528
Phone(562) 382-1528
Sole ProprietorNo
Enumeration DateApril 27, 2017
Last NPPES UpdateAugust 19, 202211 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1669907663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in CA · 107810✔ Licensed in MI · 2901022211
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.
8612 FIRESTONE BLVD, Downey, CA 90241
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

SHOROUQ SAHAWNEH
Dentist
8612 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 382-1528
CONSUMERHEALTH, INC.
Dentist
8612 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 382-1528
CONSUMERHEALTH, INC.
Dentist (Dental Public Health)
8612 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 382-1528
DR. TYLER T ZALATIMO DDS
Dentist (General Practice)
8612 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (570) 762-4407
CLAUDIA LORENA REYES
Dental Assistant
8612 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 382-1528
SAHAWNEH DENTAL CORPORATION
Dentist
8612 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 382-1528

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 Jun Sup Park's NPI number?

The NPI number for Jun Sup Park is 1669907663. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Jun Sup Park located?

Jun Sup Park practices at 8612 Firestone Blvd, Downey, CA 90241. The listed phone number is (562) 382-1528.

What is Jun Sup Park's specialty?

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

What insurance does Jun Sup Park accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 10 other insurers list Jun Sup Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jun Sup Park was last updated on August 19, 2022. 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.