NPI age
17 years
Enumerated 2009-03-23
● Active
Type 1 · Individual
Joseph Park, D.D.S.
Park is 1 of 64 dentist providers in Georgetown and 1 of 15661 in Texas.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-04-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 15661 active dentist providers in Texas.
NPI age
17 years
↑ 3 yr above median (14 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-03Enumerated in NPPES
2009
2026
Where they practice
Practice location
2411 Williams Dr Ste 111
Georgetown, TX 786283268
Mailing address
205 E University Ave Ste 200
Georgetown, TX 786266821
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
2120 N Mays St Ste 430
Round Rock, TX 786642108
Location 3
802 Avenue J
Marble Falls, TX 786545125
Location 4
605 Old Austin Hwy
Bastrop, TX 786025034
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
-
DentistA 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...
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.