SearchTexas1223G0001X

Jihee Park, D.M.D

NPI 1396242897 · on the registry since 2018 · sole proprietor

Practice

Address
1512 Leander Rd
Georgetown, TX 78628
Phone
(737) 444-2626
Organisation at this address
Rockdale Blackhawk Llc
Georgetown Elite Dental
Little River Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
GA, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas