Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jintae Park, DDS

Individual provider Dentist · NPI 1629110747

Dr. Jintae Park, DDS is a Dentist in Reno, Nevada. Licensed in California and Nevada. Registered with an NPI since 2007.

Licensed in
CA, NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6795 S Virginia St E
Reno, NV 89511-1171
Phone: (775) 853-0503
Fax: (775) 853-0504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5678 (NV)
Dentist Taxonomy 122300000X · Licence 54686 (CA)

Record details

NPI number1629110747
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJanuary 9, 2010

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