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

Mrs. Soonjin Park, DDS

Individual provider General Practice Dentistry · NPI 1194879965

Mrs. Soonjin Park, DDS is a General Practice Dentistry in Reno, Nevada. Licensed in California and Nevada. Registered with an NPI since 2007.

Licensed in
CA, NV
In the registry since
2007
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

10643 Professional Cir # 102
Reno, NV 89521-5851
Phone: (775) 737-4035
Fax: (775) 737-4036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5588 (NV)
General Practice Dentistry Taxonomy 1223G0001X · Licence 54772 (CA)

Record details

NPI number1194879965
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESSeptember 23, 2014
Mailing address10643 Professional Cir # 102, Reno, NV 89521-5851

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