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

Geonwoong Park, DDS

Individual provider General Practice Dentistry · NPI 1659109163

Geonwoong Park, DDS is a General Practice Dentistry in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
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.

See every abbreviation used in this directory →

Practice location Address checks out

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019035398 (IL)

Record details

NPI number1659109163
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 25, 2024
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address1200 W State St, Rockford, IL 61102-2112

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