Dr. Jong Hoon Park, DMD
Dentist, General Practice in Lincoln, Rhode Island
1174903660- Practice location
- 885 Smithfield Ave, Lincoln, RI 02865-3508
- Phone
- 401-723-7020
- Fax
- —
- Last updated
- July 21, 2026
Jong Hoon Park is a Dentist, General Practice based in Lincoln, RI. Jong Hoon Park practices in Lincoln, RI and has the professional credentials of DMD. The NPI Number for Jong Hoon Park is 1174903660 and holds a License No. DEN03363 (RI). The current practice location address for Jong Hoon Park is 885 Smithfield Ave, Lincoln, RI 02865-3508 and can be reached out via phone at 401-723-7020.
Provider Profile Details
- NPI Number
- 1174903660
- Provider Name
- Jong Hoon Park
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 885 Smithfield Ave, Lincoln, RI 02865-3508
- Phone Number
- 401-723-7020
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 1, 2015
- Last Update Date
- July 21, 2026
- Certification Date
- July 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 885 Smithfield Ave
Lincoln, RI 02865-3508 - City
- Lincoln
- State
- Rhode Island
- Zip
- 02865-3508
- Phone Number
- 401-723-7020
Provider Business Mailing Address Details
- Address
- 40 Nouvelle Way Unit N147
Natick, MA 01760-1599 - City
- Natick
- State
- MA
- Zip
- 01760-1599
- Phone Number
- 714-757-2525
License Information
- License Number (1)
- DEN03363
- License State (1)
- RI
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- DN1856894
- License State (2)
- MA
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jong Hoon Park, DMD?
The NPI number of Dr. Jong Hoon Park, DMD is 1174903660. It was assigned on June 1, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Jong Hoon Park, DMD?
Dr. Jong Hoon Park, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number DEN03363.
Where does Dr. Jong Hoon Park, DMD practice?
The practice location is 885 Smithfield Ave, Lincoln, RI 02865-3508. The office can be reached at 401-723-7020 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174903660 directly on the NPPES registry website.