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DR. CHUNG-JAE PARK DDS
NPI 1942200050
Dentist in Sherwood, OR

Active since July 29, 2005
21035 SW PACIFIC COAST HWY, STE 100, SHERWOOD, OR 97140(503) 925-1473(503) 925-1479 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chung-jae Park Dds NPPES

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

DR. CHUNG-JAE PARK DDS (NPI 1942200050) is an individual dentist in Sherwood, Oregon, licensed in Oregon (D8095) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1942200050
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. CHUNG-JAE PARKCredential: DDS
Location Address21035 SW PACIFIC COAST HWY, STE 100Sherwood, OR 97140
Mailing Address21035 Sw Pacific Hwy Ste 100Sherwood, OR 97140-8036 · (503) 575-4864 · Fax (503) 966-3993
Phone(503) 925-1473
Fax(503) 925-1479
Sole ProprietorYes
Enumeration DateJuly 29, 2005
Last NPPES UpdateApril 1, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1942200050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D8095
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
21035 SW PACIFIC COAST HWY, Sherwood, OR 97140
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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 ›

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 Chung-jae Park's NPI number?

The NPI number for Chung-jae Park is 1942200050. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Chung-jae Park located?

Chung-jae Park practices at 21035 SW Pacific Coast Hwy Ste 100, Sherwood, OR 97140. The listed phone number is (503) 925-1473.

What is Chung-jae Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Chung-jae 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 Chung-jae 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 Chung-jae Park was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.