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

Dr. Kony Park, DMD

Individual provider Endodontics · NPI 1730433830

Dr. Kony Park, DMD is an Endodontics in Georgetown, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4913 Moreland Dr Ste 103
Georgetown, TX 78633-5509
Phone: (512) 275-4222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 36695 (TX)

Record details

NPI number1730433830
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 29, 2012
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address30102 Diamond Dove Trl, Georgetown, TX 78628-3724

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