SOO JIN PARK DDS
NPI 1700562923
Dentist - General Practice in San Francisco, CA

Active since June 22, 2023
2 EMBARCADERO CTR, SAN FRANCISCO, CA 94111(415) 398-4400 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Soo Jin Park Dds NPPES

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

SOO JIN PARK DDS (NPI 1700562923) is an individual general practice provider in San Francisco, California, licensed in California (108815) and active in the NPI registry since June 2023. She maintains a secondary practice location in Burlingame.

NPPES Registry Identity

NPI1700562923
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSOO JIN PARKCredential: DDS
Location Address2 EMBARCADERO CTRSan Francisco, CA 94111-3823
Mailing Address988 El Camino Real Apt 434South San Francisco, CA 94080-3310 · (415) 926-2634
Sole ProprietorNo
Enumeration DateJune 22, 2023
NPPES CertifiedJune 22, 2023
NPI 1700562923 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 · 108815
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.

2 EMBARCADERO CTR, San Francisco, CA 94111

Secondary Practice Location 1

Location 11860 El Camino Real Ste 305Burlingame, CA 94010-3114 · Phone (650) 419-0695

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
2 EMBARCADERO CTR, PROMENADE LEVEL
SAN FRANCISCO, CA 94111
Dentist (General Practice)
2 EMBARCADERO CTR, PROMENADE LEVEL
SAN FRANCISCO, CA 94111
Dentist (General Practice)
2 EMBARCADERO CTR, PROMENADE LEVEL
SAN FRANCISCO, CA 94111
Dentist (General Practice)
2 EMBARCADERO CTR, PROMENADE LEVEL
SAN FRANCISCO, CA 94111
Registered Nurse
2 EMBARCADERO CTR, LOBBY LEVEL
SAN FRANCISCO, CA 94111
Dentist
2 EMBARCADERO CTR, EMBARCADERO DENTISTRY
SAN FRANCISCO, CA 94111
Naturopath
2 EMBARCADERO CTR, LOBBY LEVEL
SAN FRANCISCO, CA 94111
Family Medicine
2 EMBARCADERO CTR, LOBBY LEVEL
SAN FRANCISCO, CA 94111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700562923, enumerated as an "individual" on June 22, 2023.

The provider is located at 2 EMBARCADERO CTR SAN FRANCISCO, CA 94111 and the phone number is (415) 398-4400.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.