Julia J Park DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JULIA J PARK DDS INC

Practice address

1329 Barton Rd Ste a
Redlands, CA 92373-4419

Phone

(909) 748-6466

NPI assigned

Feb 19, 2020

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julia J ParkNPI 1205227386

Title

Ceo

Phone

(909) 205-4194

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Jungin Park, D.D.S.

  • Dentist
  • San Bernardino, CA
  • NPI 1205227386
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1174156004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26547 HUMMINGBIRD CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 BARTON RD STE A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734419",
            "telephone_number": "909-748-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA J PARK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-205-4194"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth George Jordan, MD
• Tanner Jorritsma, DC
• Jeena Elizabeth Jose
• JTS Management, Inc. (JTS Medical)
• Kaylee Elena Juarez, LCSW
• Jun R. Chiong, MD, MPH, Inc.
• Ashlee Megan Jung, D.D.S.
• Justin C. Kerstetter, M.D., Inc.
• Justin Ogoy Optometric Corporation (Bright Sight Optometry)
• Jocelyn Jutzy How Sr., SLP

• Dental Clinic/Center in Redlands, CA
• Providers in Redlands, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.