DR D S PARK DENTAL INC (NPI# 1477196244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477196244 |
| Entity Type | Organization |
| Organization Name | DR D S PARK DENTAL INC |
| Other Organization Name | SMILE DENTAL OF DELANO |
| Practice Address |
1406 Jefferson St Delano CA 93215-2222 |
| Practice Telephone | 6617259430 |
| Practice Fax Number | 6617257221 |
| Mailing Telephone | 6617259430 |
| Mailing Fax Number | 6617257221 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | DAVID S PARK (OWNER) |
| Authorized Official Telephone | 3104031117 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | DR D S PARK DENTAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 53724 | 05 |
| Other Name | Type Code |
|---|---|
| Smile Dental of Delano | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1245 7th St, Wasco, CA 932801820 | 6617583021 | 6617586780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025589 | Dr D S Park Dental Inc | Dentist | 1245 7th St, Wasco, CA 93280-1820 | 2019-10-24 |
| Street Address |
1406 JEFFERSON ST |
| City | DELANO |
| State | CA |
| Zip Code | 93215-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295868636 | Brian Songsu Kim | Dentist | 1406 Jefferson St, Delano, CA 93215-2222 | 2007-03-14 |
| 1295141711 | Lauren Heajin Kim | Pharmacist | 1406 Jefferson St, Delano, CA 93215-2222 | 2014-07-03 |
| 1205043395 | Brian Songsu Kim | Dentist | 1406 Jefferson St, Delano, CA 93215-2222 | 2007-05-17 |
| 1730212952 | Hanh Ngoc Nguyen | Dentist | 1406 Jefferson St, Delano, CA 93215-2222 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699396 | Clinca Sierra Vista | Clinic/Center | 425 Del Sol Parkway, Delano, CA 93215 | 2019-10-02 |
| 1609367762 | Elizabeth Galaviz Alcaraz | Marriage & Family Therapist | 828 High Street, Suite C, Delano, CA 93215 | 2018-05-24 |
| 1972962819 | Joy Nneka Iwuchukwu | Nurse Practitioner | 1201 Jefferson Street, Delano, CA 93215 | 2016-02-21 |
| 1154715217 | Amalia Sanchez | Counselor | 828 High Street, Suite C, Delano, CA 93215 | 2015-03-26 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1629356522 | Clinica Sierra Vista | Counselor | 1401 Hiett Ave, Delano, CA 93215 | 2011-07-26 |
| 1235435082 | Jonathan James Yip | Psychologist | 2327 W. Cecil Ave., Delano, CA 93215 | 2011-01-26 |
| 1669782108 | Lydia Reyes | Marriage & Family Therapist | 828 High Street, Ste.c, Delano, CA 93215 | 2010-10-18 |
| 1932341385 | Lydia Soriano Zapanta | Obstetrics & Gynecology | 1619 Cecil Ave, Delano, CA 93215 | 2009-04-01 |
| 1669624714 | Gurvinder Kaur | Pharmacist | 1800 Cecil Ave, Delano, CA 93215 | 2008-10-21 |
| Find all providers in zip 93215 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215428487 | Ellen C Vander Heyden | Dentist | 327 13th St S Ste 100, Delano, MN 55328-4631 | 2018-05-23 |
| 1902396674 | Katy Neil | Dentist | 405 Babcock Blvd E Ste 130, Delano, MN 55328-9144 | 2018-05-17 |
| 1235563495 | Western Dental Services, Inc | Dentist | 730 Woollomes Ave, Suite 101-102, Delano, CA 93215-9550 | 2013-08-23 |
| 1912134784 | Chuping Liu | Dentist | 601 High St Unit A, Delano, CA 93215-2969 | 2009-06-18 |
| 1124200902 | Grace Kui Hea Yang | Dentist | 601 High St. Ste A, Delano, CA 93215-2969 | 2007-12-03 |
| 1730369372 | Judy Soot-chuen Chin | Dentist | 2737, West Cecil Ave, Delano, CA 93215 | 2007-11-12 |
| 1396930061 | Fred Lopez | Dentist | 2737 W. Cecil Ave, Delano, CA 93216 | 2007-09-06 |
| 1134314800 | Stanley Michael Godges | Dentist | 2737 W. Cecil Avenue, Delano, CA 93216 | 2007-09-06 |
| 1699969378 | Phu Vinh Truong | Dentist | 2737 W. Cecil, Delano, CA 93216 | 2007-09-05 |
| 1023220928 | Delano Family Dental | Dentist | 707 Elm Ave E, Delano, MN 55328 | 2007-05-04 |
| Find all providers in DELANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.