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

John Woongjoon Park, DMD

Individual provider Periodontics · NPI 1265760474

John Woongjoon Park, DMD is a Periodontics in Tacoma, Washington. Works from 3 locations. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3866 S 74th St Ste 200
Tacoma, WA 98409-9908
Phone: (855) 433-6825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4550 3rd Ave Se, Lacey, WA 98503-1033 — (855) 433-6825
  • 3773-C Martin Way, Olympia, WA 98506 — (360) 456-3638

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DE00011114 (WA)
Periodontics Taxonomy 1223P0300X · Licence D-4283-PE (ID)

Record details

NPI number1265760474
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 28, 2009
Last updated in NPPESApril 15, 2020
Certification dateApril 15, 2020

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