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DR. ILMOON PARK DMD
NPI 1932483849
Dentist - General Practice in Winter Haven, FL

Active since October 11, 2011
3265 CYPRESS GARDENS RD, SUITE A, WINTER HAVEN, FL 33884(863) 324-4271 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ilmoon Park Dmd NPPES

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

DR. ILMOON PARK DMD (NPI 1932483849) is an individual general practice provider in Winter Haven, Florida, licensed in Florida (DN19565) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1932483849
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ILMOON PARKCredential: DMD
Location Address3265 CYPRESS GARDENS RD, SUITE AWinter Haven, FL 33884-2418
Mailing Address3265 Cypress Gardens Rd, Suite AWinter Haven, FL 33884-2418 · (863) 324-4271
Phone(863) 324-4271
Sole ProprietorNo
Enumeration DateOctober 11, 2011
Last NPPES UpdateAugust 10, 2015
✔ NPI 1932483849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN19565
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.
3265 CYPRESS GARDENS RD, Winter Haven, FL 33884
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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 ›

Other Providers at the Same Location NPPES

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

DR. THOMAS RICHARD JOHNSON D.D.S.
Dentist (General Practice)
3265 CYPRESS GARDENS RD
WINTER HAVEN, FL 33884
Polk County (863) 324-4271

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 Ilmoon Park's NPI number?

The NPI number for Ilmoon Park is 1932483849. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Ilmoon Park located?

Ilmoon Park practices at 3265 Cypress Gardens Rd Suite A, Winter Haven, FL 33884. The listed phone number is (863) 324-4271.

What is Ilmoon Park's specialty?

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

What insurance does Ilmoon 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, Humana and Renaissance Dental list Ilmoon 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 Ilmoon Park was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.