Woo Kwon Park, D.D.S

Dentist · Rowlett, TX

Individual Active NPI

NPI number 1215283403

Practice location

5701 Liberty Grove Rd
Suite 140
Rowlett, TX 75089-3623
Phone
(214) 703-0703

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NPI record

NPI
1215283403
Entity type
Individual (Type 1)
Enumeration date
July 25, 2012
Last updated
September 11, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 28444 TX
Dentist 122300000X 61550 CA

Mailing address

701 E Bluff St
Apt 7207
Fort Worth, TX 76102-2300
Phone
(213) 448-1888

About Dr. Park

Woo Kwon Park, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5701 Liberty Grove Rd, Suite 140, Rowlett, TX 75089-3623. The NPI number 1215283403 was assigned on July 25, 2012 and the record was last updated on September 11, 2014.

Dr. Park lists 2 licenses in the registry: #28444 (TX) for Dentist; #61550 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Woo Kwon Park, D.D.S?

The NPI number is 1215283403.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (214) 703-0703.

Where is Dr. Park located?

5701 Liberty Grove Rd, Suite 140, Rowlett, TX 75089-3623.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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