Individual provider · Type 1 NPI

Mohyun Park

Dentist · Sacramento, CA

NPI number 1700630035 Active

Practice location

1537 Howe Ave Ste 100
Sacramento, CA 95825-3360

Mailing address

3485 Monroe St Apt 309
Santa Clara, CA 95051-7722

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN123423 (GA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000XDDS111721 (CA)

Dentist: 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 requiremen…

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About NPI 1700630035

Mohyun Park's National Provider Identifier is 1700630035, issued on Apr 15, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Sacramento, CA. The record was last updated on Sep 1, 2025.