IndividualActive
Yong Jin Park
NPI 1407789829 · Dentist · Ansan
Yong Jin Park is a Dentist provider in Ansan (NPI 1407789829).
Provider details
- NPI number
- 1407789829
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 112682 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Basic profile(40/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
67% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Severance Dental Clinic, #206 Yongheon B/D, Seonbu-Dong
1076-3
Ansan, 15239
Approximate (ZIP-level) locationGet directions
Mailing address
321 E David Dr
Flagstaff, AZ 86001-3243
Registry dates
- Enumerated
- 2026-06-05
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Frequently asked questions
- What is Yong Jin Park's NPI number?
- Yong Jin Park's National Provider Identifier (NPI) is 1407789829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Yong Jin Park's specialty?
- Yong Jin Park is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Yong Jin Park located?
- Yong Jin Park's practice location on file with NPPES is Severance Dental Clinic, #206 Yongheon B/D, Seonbu-Dong, Ansan, 15239.
- Is Yong Jin Park's NPI active?
- Yes — Yong Jin Park's NPI (1407789829) is active in the NPPES registry as of the last update on 2026-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.