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

Dr. Jintae Park, DDS

Individual provider Dentist · NPI 1629110747

Dr. Jintae Park, DDS is a Dentist in Reno, Nevada. Licensed in California and Nevada. Registered with an NPI since 2007.

Licensed in
CA, NV
In the registry since
2007
Specialties on file
2
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

6795 S Virginia St E
Reno, NV 89511-1171
Phone: (775) 853-0503
Fax: (775) 853-0504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5678 (NV)
Dentist Taxonomy 122300000X · Licence 54686 (CA)

Record details

NPI number1629110747
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJanuary 9, 2010
Mailing address815 Kiley Ranch Pkwy, 2901, Sparks, NV 89436-4066

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