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DR. JI SOO PARK DDS
NPI 1770135774
Dentist - General Practice in Frisco, TX

Active since July 10, 2019
4611 PRESTON RD STE 100, FRISCO, TX 75034(469) 299-4091 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2020, Jul 10, 2019 (2 updates tracked since 2019).

About Dr. Ji Soo Park Dds NPPES

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

DR. JI SOO PARK DDS (NPI 1770135774) is an individual general practice provider in Frisco, Texas, licensed in Texas (35244) and active in the NPI registry since July 2019. She maintains a secondary practice location in Cedar Hill.

NPPES Registry Identity

NPI1770135774
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JI SOO PARKCredential: DDS
Location Address4611 PRESTON RD STE 100Frisco, TX 75034-7488
Mailing Address4611 Preston Rd Ste 100Frisco, TX 75034-7488 · (469) 299-4091
Phone(469) 299-4091
Sole ProprietorNo
Enumeration DateJuly 10, 2019
Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
✔ NPI 1770135774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 35244
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.
4611 PRESTON RD STE 100, Frisco, TX 75034
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Secondary Practice Location 1

Location 1105 E Belt Line Rd Ste 900Cedar Hill, TX 75104-2230 · Phone (469) 454-3045

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 Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

MINT DENTISTRY
Dentist (General Practice)
4611 PRESTON RD STE 100
FRISCO, TX 75034
Denton County (214) 821-6468

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 Ji Soo Park's NPI number?

The NPI number for Ji Soo Park is 1770135774. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Ji Soo Park located?

Ji Soo Park practices at 4611 Preston Rd Ste 100, Frisco, TX 75034. The listed phone number is (469) 299-4091.

What is Ji Soo Park's specialty?

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

What insurance does Ji Soo Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Ji Soo 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 Ji Soo Park was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.