NPI
Joseph Park
NPI 1699916585
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- D.D.S.
- Type
- Individual
- Enumeration date
- 2009-03-23
- Last updated
- 2018-04-24
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Specialties
Licenses
- License WA
- de60056279
- License TX
- 28680
Location
- Practice location
- 2411 Williams Dr Ste 111
- City
- Georgetown TX
- Postal code
- 78628-3268
- Phone
- (877) 800-5722
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Georgetown, TX. 2,220 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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