Doctor profile · Federal record
Dr. Kony Park, D.M.D
Endodontist · Georgetown, TX
- NPI 1730433830
- 14 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4913 Moreland Dr Ste 103
Georgetown, TX 786335509
(512) 275-4222 - Mailing address
-
30102 Diamond Dove Trl
Georgetown, TX 786283724
Credentials & registration
- NPI registered
- October 2012 — 14 yrs on file
- Profile last updated
- January 16, 2024
- Specialty taxonomy
- 1223E0200X — NUCC code
- State license (1)
- Texas #36695
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730433830. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$86
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 3 | $85.78 |
By nature of payment
Frequently asked questions
What is Dr. Kony Park's medical specialty?
Dr. Kony Park practices Endodontist in Georgetown, TX.
Where does Dr. Kony Park practice?
Dr. Kony Park practices at 4913 Moreland Dr Ste 103, Georgetown, TX 786335509. Office phone: 5122754222.
What is Dr. Kony Park's NPI?
Dr. Kony Park's National Provider Identifier (NPI) is 1730433830, issued by NPPES.