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

Dr. Jun Sup Park, DDS

Individual provider Dentist · NPI 1669907663

Dr. Jun Sup Park, DDS is a Dentist in Downey, California. Licensed in California and Michigan. Registered with an NPI since 2017.

Licensed in
CA, MI
In the registry since
2017
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

8612 Firestone Blvd
Downey, CA 90241-5243
Phone: (562) 382-1528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 107810 (CA)
Dentist Taxonomy 122300000X · Licence 2901022211 (MI)

Record details

NPI number1669907663
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022
Mailing address8612 Firestone Blvd, Downey, CA 90241-5243

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