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

James Keonuk Park, DDS

Individual provider Pediatric Dentistry · NPI 1780721852

James Keonuk Park, DDS is a Pediatric Dentistry in Fullerton, California. Licensed in California and New Jersey. Registered with an NPI since 2007.

Licensed in
CA, NJ
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

1950 Sunnycrest Dr Ste 3300
Fullerton, CA 92835-3638
Phone: (714) 870-6120
Fax: (714) 870-6869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 57027 (CA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 22DI02283700 (NJ)

Record details

NPI number1780721852
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJuly 7, 2008

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