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

Dr. Jake Park, DDS

Individual provider General Practice Dentistry · NPI 1801633730

Dr. Jake Park, DDS is a General Practice Dentistry in Cleburne, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2024
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1661 W Henderson St
Cleburne, TX 76033-4230
Phone: (682) 317-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 540 Coyote Canyon Way, Brea, CA 92821-3530 — (714) 788-7883

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 40767 (TX)

Record details

NPI number1801633730
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 9, 2024
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address540 Coyote Canyon Way, Brea, CA 92821-3530

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