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

Jc Park Dental Group, Inc

Organization Dental Clinic/Center · NPI 1215638713

Jc Park Dental Group, Inc is a Dental Clinic/Center in Gardena, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15201 S Western Ave
Gardena, CA 90249-4314
Phone: (310) 400-7705
Fax: (310) 400-7714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1215638713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaechan Park — President · (626) 454-0159
NPI enumeratedMarch 13, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023
Mailing address614 Inverness Ct, Fullerton, CA 92835-2776

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