Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JIN PARK
NPI 1801246715
Dentist - Oral and Maxillofacial Surgery in Salem, OR

Q: What is Jin Park's NPI number?

The NPI number for Jin Park is 1801246715. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Jin Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Jin Park was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 June 21, 2016

250 CHURCH ST SE STE 102, SALEM, OR 97301(503) 581-1999 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Jul 13, 2023, Jul 3, 2019 and 2 more (5 updates tracked since 2016).

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About Jin Park NPPES

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

JIN PARK (NPI 1801246715) is an individual oral and maxillofacial surgery provider in Salem, Oregon, licensed in Oregon (D12135) and active in the NPI registry since June 2016. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1801246715

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameJIN PARK

Location Address250 CHURCH ST SE STE 102Salem, OR 97301-3758

Mailing Address250 Church St Se Ste 102Salem, OR 97301-3758

Phone(503) 581-1999

Sole ProprietorNo

Enumeration DateJune 21, 2016

Last NPPES UpdateJuly 14, 20265 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1801246715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in OR · D12135

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

250 CHURCH ST SE STE 102, Salem, OR 97301

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Secondary Practice Locations 3

Location 11 Medical Center DrMorgantown, WV 26506-1200 · Phone (304) 293-2841

Location 2507 W Stan Schlueter Loop Ste 400Killeen, TX 76542-6877 · Phone (254) 870-9209

Location 31400 Pelham Pkwy SBronx, NY 10461-1138 · Phone (719) 918-3419

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

OR SPECIALTY DENTAL SERVICES LLC

Clinic/Center (Oral and Maxillofacial Surgery)

250 CHURCH ST SE STE 102
SALEM, OR 97301

Marion County (503) 581-1999

WILLAMETTE VALLEY ORAL & MAXILLOFACIAL SURGEY, INC.

Dentist (Oral and Maxillofacial Surgery)

250 CHURCH ST SE STE 102
SALEM, OR 97301

Marion County (503) 581-1999

OR OMS SPECIALTY DENTAL SERVICES, LLC

Dentist (Oral and Maxillofacial Surgery)

250 CHURCH ST SE STE 102
SALEM, OR 97301

Marion County (503) 581-1999

OR OMS SPECIALTY DENTAL SERVICES, LLC

Dentist (Oral and Maxillofacial Surgery)

250 CHURCH ST SE STE 102
SALEM, OR 97301

Marion County (503) 581-1999

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 Jin Park's NPI number?

The NPI number for Jin Park is 1801246715. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Jin Park located?

Jin Park practices at 250 Church St SE Ste 102, Salem, OR 97301. The listed phone number is (503) 581-1999.

What is Jin Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Jin Park accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Jin 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 Jin Park was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.