MRS. JEANETTE GENKYUNG PARK RDH
NPI 1942557962
Dental Hygienist in Banning, CA

Active since August 08, 2012
6350 W RAMSEY ST, SUITE A, BANNING, CA 92220(951) 769-0466(951) 769-3606 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dental Hygienist

About JEANETTE PARK

This page provides the complete NPI Profile along with additional information for Jeanette Park, a provider established in Banning, California with a medical specialization in Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1942557962 assigned on August 2012. The practitioner's primary taxonomy code is 124Q00000X with license number 23312 (CA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1942557962 Verify this NPI
Provider Name
MRS. JEANETTE GENKYUNG PARK RDH
Gender
Female
Entity Type
Individual
Location Address
6350 W RAMSEY ST SUITE A BANNING, CA 92220
Location Phone
(951) 769-0466
Location Fax
(951) 769-3606
Mailing Address
6350 W RAMSEY ST SUITE A BANNING, CA 92220
Mailing Phone
(951) 769-0466
Mailing Fax
(951) 769-3606
Is Sole Proprietor?
No
Enumeration Date
08-08-2012
Last Update Date
08-08-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dental Hygienist

Taxonomy Code
124Q00000X
Type
Dental Providers
License No.
23312
License State
CA
Taxonomy Description
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
6350 W RAMSEY ST, SUITE #A
BANNING, CA 92220
Dentist (General Practice)
6350 W RAMSEY ST, #A
BANNING, CA 92220
Dental Hygienist
6350 W RAMSEY ST, SUITE A
BANNING, CA 92220
Dentist
6350 W RAMSEY ST, STE. A
BANNING, CA 92220
Audiologist-Hearing Aid Fitter
6350 W RAMSEY ST, SUITE B
BANNING, CA 92220
Nurse Practitioner (Family)
6350 W RAMSEY ST
BANNING, CA 92220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942557962, enumerated as an "individual" on August 08, 2012.

The provider is located at 6350 W RAMSEY ST SUITE A BANNING, CA 92220 and the phone number is (951) 769-0466.

Dental Hygienist with taxonomy code 124Q00000X.