DR. JACOB GYEONGIL PARK (NPI# 1134342629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134342629 |
| Entity Type | Individual |
| Full Name | DR. JACOB GYEONGIL PARK |
| Credential | D.D.S. |
| Practice Address |
7434 Louis Pasteur Dr Suite 303 San Antonio TX 78229-4538 |
| Practice Telephone | 2106157224 |
| Practice Fax Number | 2106157229 |
| Mailing Telephone | 2106157224 |
| Mailing Fax Number | 2106157229 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 17106 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528463346 | Jacob Park | Physician Assistant | 777 Park Ave W, Highland Park, IL 60035-2433 | 2014-10-23 |
| Street Address |
7434 LOUIS PASTEUR DR SUITE 303 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-4538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710967831 | Joan T Meaney | Urology | 7434 Louis Pasteur Dr, Ste 215, San Antonio, TX 78229-4540 | 2006-01-17 |
| 1083069124 | David De La Garza Jr. Dds | Dentist | 7434 Louis Pasteur Dr, Ste 236, San Antonio, TX 78229-4538 | 2016-04-26 |
| 1285008201 | Joseph M Montaldi, LLC | Counselor | 7434 Louis Pasteur Dr, 22, San Antonio, TX 78229-4538 | 2015-11-16 |
| 1386035996 | Darrell Parsons, Lcsw, Pllc | Social Worker | 7434 Louis Pasteur Dr, Suite 22, San Antonio, TX 78229-4538 | 2015-02-18 |
| 1275968745 | Ps3a LLC | Durable Medical Equipment & Medical Supplies | 7434 Louis Pasteur Dr, Ste 230, San Antonio, TX 78229-4538 | 2013-09-03 |
| 1528316981 | Joseph M Montaldi | Social Worker | 7434 Louis Pasteur Dr, Suite 22, San Antonio, TX 78229-4538 | 2012-08-16 |
| 1770864134 | Anny Patricia Gonzalez | Physician Assistant | 7434 Louis Pasteur Dr, San Antonio, TX 78229-4538 | 2011-08-30 |
| 1922272574 | Royal Suntomed Medical Group | Internal Medicine | 7434 Louis Pasteur Dr, Suite 309, San Antonio, TX 78229-4538 | 2008-04-15 |
| 1538386701 | Elizabeth Loudon, Md Pa | Dermatology | 7434 Louis Pasteur Dr, Suite 220, San Antonio, TX 78229-4538 | 2007-04-19 |
| 1790830263 | Harry Allen Croft | Specialist | 7434 Louis Pasteur Dr, Suite 101, San Antonio, TX 78229-4538 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555780 | Tpc Dental Care PC | Dentist | 2610 Tpc Pkwy Ste 102, San Antonio, TX 78259-2394 | 2020-10-09 |
| 1144831629 | Eduardo Marmelstein Lima | Dentist | 7072 Bandera Rd, San Antonio, TX 78238-1201 | 2020-08-10 |
| 1255954525 | Wecare Family Dentistry Cosmetic & Dental Center Pllc. | Dentist | 7228 Bandera Rd Ste 104, San Antonio, TX 78238-1205 | 2020-05-21 |
| 1255951802 | Smilegivers Professional Corporation | Dentist | 8725 Marbach Rd Ste 201, San Antonio, TX 78227-2378 | 2020-04-23 |
| 1114555687 | Yvette Alexis Martinez | Dentist | 25235 Ih 10 W Ste 201, San Antonio, TX 78257-2105 | 2020-03-31 |
| 1861027153 | Converse Smiles Pllc | Dentist | 4230 N Foster Road, San Antonio, TX 78219 | 2020-03-06 |
| 1235761008 | Estrella and Rodrigo Dds Pllc | Dentist | 24815 Us Highway 281 N Ste 108, San Antonio, TX 78258-2601 | 2020-02-10 |
| 1043854995 | Sa Smiles, Pllc | Dentist | 1114 Sw Military Dr Ste 112, San Antonio, TX 78221-1512 | 2019-11-04 |
| 1740839828 | Hunter Ryan Acord | Dentist | 8210 Floyd Curl Dr # 8118, San Antonio, TX 78229-3923 | 2019-09-10 |
| 1922653518 | Potranco Dentistry, PC | Dentist | 10538 Potranco Rd Ste 206, San Antonio, TX 78251-3359 | 2019-08-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.