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DR. KWONIL PARK DDS
NPI 1740306414
Dentist - General Practice in Carrollton, TX

Active since March 22, 2007
1017 E TRINITY MILLS RD, SUITE 102, CARROLLTON, TX 75006(972) 446-7733(972) 446-0088 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kwonil Park Dds NPPES

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

DR. KWONIL PARK DDS (NPI 1740306414) is an individual general practice provider in Carrollton, Texas, licensed in Texas (25071) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1740306414
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KWONIL PARKCredential: DDS
Location Address1017 E TRINITY MILLS RD, SUITE 102Carrollton, TX 75006-1438
Mailing Address1017 E Trinity Mills Rd, Suite 102Carrollton, TX 75006-1438 · (972) 446-7733 · Fax (972) 446-0088
Phone(972) 446-7733
Fax(972) 446-0088
Sole ProprietorYes
Enumeration DateMarch 22, 2007
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1740306414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 25071
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.
Also ListedDentistTaxonomy 122300000X · License 019026108 (IL)
1017 E TRINITY MILLS RD, Carrollton, TX 75006
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Other Identifiers 2

Medicaid1005790IL
Medicaid207002108TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

MYUNG SOO CHOI DDS
Dentist (Periodontics)
1017 E TRINITY MILLS RD, #102
CARROLLTON, TX 75006
Dallas County (909) 471-3782
LOGOS ASSOCATION INC.
Chiropractor
1017 E TRINITY MILLS RD, SUITE 108
CARROLLTON, TX 75006
Dallas County (972) 400-2379

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 Kwonil Park's NPI number?

The NPI number for Kwonil Park is 1740306414. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Kwonil Park located?

Kwonil Park practices at 1017 E Trinity Mills Rd Suite 102, Carrollton, TX 75006. The listed phone number is (972) 446-7733.

What is Kwonil Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kwonil Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Kwonil 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 Kwonil Park was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.