Individual provider · Type 1 NPI

John Woongjoon Park, DMD

Periodontics · Tacoma, WA

NPI number 1265760474 Active

Practice location

3866 S 74th St Ste 200
Tacoma, WA 98409-9908

Call (855) 433-6825 Map

Mailing address

6950 NE Campus Way
Hillsboro, OR 97124-5611

Other practice locations

  • 3773-C Martin Way, Olympia, WA 98506 · (360) 456-3638
  • 4550 3rd Ave SE, Lacey, WA 98503-1033 · (855) 433-6825

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300XD-4283-PE (ID)
Periodontics Primary 1223P0300XDE00011114 (WA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1265760474

John Woongjoon Park, DMD's National Provider Identifier is 1265760474, issued on Nov 28, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tacoma, WA. The record was last updated on Apr 15, 2020.