Pak Dental Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

41507 Issued in CA

Legal business name

PAK DENTAL INC.

Practice address

888 Brea Canyon Rd Ste 360
Diamond Bar, CA 91789-3096

Phone

(626) 404-2222

Fax

(626) 965-5685

NPI assigned

Nov 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jongson Pak, DDSNPI 1982861894

Title

President

Phone

(626) 404-2222

Specialties & licenses 1

Addresses

Other names 1

• U Shine Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jongson Pak, DDS GENERAL DENTISTR

  • Dentist
  • Diamond Bar, CA
  • NPI 1982861894
  NPD Authorized official

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

{
    "created_epoch": "1447459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1659745644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 BREA CANYON RD STE 360",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893096",
            "telephone_number": "626-404-2222",
            "fax_number": "626-965-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 BREA CANYON RD STE 360",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893096",
            "telephone_number": "626-404-2222",
            "fax_number": "626-965-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAK DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-14",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "JONGSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-404-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U Shine Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Olivera
• Andriani Ongkorahardjo, DDS
• Richard Eugene Ortigo, PSYD
• Kathy Ou, PHARM.D
• Stephen Ou, MD
• Jongson Pak, DDS GENERAL DENTISTR
• Jieru Pan, DDS
• Yann Ping Pan, MD
• Parvita Paresh Panchal, DO
• Lucas Ivan Paredes, D.C

• Dentist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.