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

Jaechan Park, DDS

Individual provider General Practice Dentistry · NPI 1275666315

Jaechan Park, DDS is a General Practice Dentistry in Gardena, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007
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

15201 S Western Ave
Gardena, CA 90249-4314
Phone: (310) 400-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2421 E Tudor Rd Ste 101, Anchorage, AK 99507-1166 — (907) 222-6000

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 49972 (CA)

Record details

NPI number1275666315
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023
Mailing address614 Inverness Ct, Fullerton, CA 92835-2776

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