Jung Won Park is a Tyler, Texas based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jung Won Park is
37630 for Dentistry in Texas. His current practice location is
212 Old Grande Blvd Ste B224, Tyler. Patients can reach him at
903-509-0505.
Jung Won Park is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jung Won Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jung Won Park |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 212 Old Grande Blvd Ste B224, Tyler, Texas, 75703-4277 |
| Phone: | 903-509-0505 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| NPI Number: | 1043983364 |
| NPI Enumeration Date: | 02 Aug, 2021 |
| NPI Last Update On: | 02 Aug, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jung Won Park are as mentioned below.
| License Number | Specialization | State | Status | |
| 37630 | Dentistry | Texas | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11 S Mill St Ste 200, New Castle, Pennsylvania |
| Zip: | 16101-3680 |
| Phone Number: | 225-324-2493 |
Patients can reach Jung Won Park at
212 Old Grande Blvd Ste B224, Tyler, Texas or can
call to book an appointment on 903-509-0505.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.