DR. KONY PARK D.M.D
NPI 1730433830
Dentist - Endodontics in Georgetown, TX

Q: What is Kony Park's NPI number?

The NPI number for Kony Park is 1730433830. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Q: What is Kony Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Kony Park was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 29, 2012

4913 MORELAND DR STE 103, GEORGETOWN, TX 78633(512) 275-4222 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Kony Park D.m.d NPPES

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

DR. KONY PARK D.M.D (NPI 1730433830) is an individual endodontics provider in Georgetown, Texas, licensed in Texas (36695) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1730433830

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. KONY PARKCredential: D.M.D

Location Address4913 MORELAND DR STE 103Georgetown, TX 78633-5509

Mailing Address30102 Diamond Dove TrlGeorgetown, TX 78628-3724 · (253) 503-9655

Phone(512) 275-4222

Sole ProprietorNo

Enumeration DateOctober 29, 2012

Last NPPES UpdateJanuary 16, 2024

NPPES CertifiedJanuary 16, 2024

✔ NPI 1730433830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in TX · 36695

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

4913 MORELAND DR STE 103, Georgetown, TX 78633

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Kony Park's NPI number?

The NPI number for Kony Park is 1730433830. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Where is Kony Park located?

Kony Park practices at 4913 Moreland Dr Ste 103, Georgetown, TX 78633. The listed phone number is (512) 275-4222.

What is Kony Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Kony Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Guardian and 4 other insurers list Kony 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 Kony Park was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.