DR. JI SOO PARK (NPI# 1770135774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770135774 |
| Entity Type | Individual |
| Full Name | DR. JI SOO PARK |
| Credential | DDS |
| Practice Address |
4611 Preston Rd Ste 100 Frisco TX 75034-7488 |
| Practice Telephone | 4692994091 |
| Mailing Telephone | 4692994091 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
35244 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 E Belt Line Rd Ste 900, Cedar Hill, TX 751042230 | 4694543045 |
| Street Address |
4611 PRESTON RD STE 100 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-7488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163980 | Mint Dentistry | Dentist | 4611 Preston Rd Ste 100, Frisco, TX 75034-7488 | 2018-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386870 | Sydney Rae Jones | Dentist | 5570 Fm 423 Ste 400, Frisco, TX 75036-8941 | 2020-08-12 |
| 1750921847 | Bright Smiles of Garland Pllc | Dentist | 12547 Honeyflower Dr, Frisco, TX 75035-0712 | 2020-01-07 |
| 1336799840 | Jansen Bean Dds Pllc | Dentist | 9300 Wade Blvd Ste 250, Frisco, TX 75035-2174 | 2019-09-17 |
| 1003465212 | Brian Wong Dds Pa | Dentist | 9300 Wade Blvd Ste 210, Frisco, TX 75035-2175 | 2019-09-10 |
| 1780163980 | Mint Dentistry | Dentist | 4611 Preston Rd Ste 100, Frisco, TX 75034-7488 | 2018-08-08 |
| 1831675230 | Sherwin Gilani | Dentist | 5110 Main St Ste 300, Frisco, TX 75033-2970 | 2018-07-18 |
| 1750876454 | Loretta Anekwe | Dentist | 3245 Main St Ste 235-308, Frisco, TX 75034-4411 | 2018-06-25 |
| 1447749189 | Lone Republic Dental Corp | Dentist | 3535 Victory Group Way Ste 100, Frisco, TX 75034-6720 | 2018-05-08 |
| 1073013819 | Shk Enterprise | Dentist | 11875 Coit Rd, Ste 120, Frisco, TX 75035 | 2018-02-19 |
| 1932611704 | Parul Vashisht | Dentist | 1606 Fm 423, Suite 200, Frisco, TX 75033 | 2017-11-01 |
| Find all providers in FRISCO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.