DAVID PARK MPH DDS PROFESSIONAL CORPORATION (NPI# 1548701626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548701626 |
| Entity Type | Organization |
| Organization Name | DAVID PARK MPH DDS PROFESSIONAL CORPORATION |
| Practice Address |
1669 W Avenue J 305 Lancaster CA 93534-2866 |
| Practice Telephone | 6618027544 |
| Mailing Telephone | 6618027544 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | DAVID S PARK (OWNER) |
| Authorized Official Telephone | 6618027455 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 53724 | 05 |
| Street Address |
1669 W AVENUE J 305 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354391 | Brian Kimkyone Gaw | Pediatrics | 1669 W Avenue J, Suite 304, Lancaster, CA 93534-2866 | 2005-05-24 |
| 1639553456 | James A. Sweeney, D.d.s., Inc. | Dentist | 1669 W Avenue J, Suite #305, Lancaster, CA 93534-2866 | 2015-07-10 |
| 1932409257 | Brian K Gaw, M.d., Inc. | Pediatrics | 1669 W Avenue J, Suite 304, Lancaster, CA 93534-2866 | 2010-11-03 |
| 1144356460 | Harry Herman Nickle | Internal Medicine | 1669 W Avenue J, Suite 301, Lancaster, CA 93534-2866 | 2007-02-23 |
| 1124163456 | Child and Family Guidance Center | Case Management | 1669 W Avenue J, Suite 202, Lancaster, CA 93534-2866 | 2007-02-21 |
| 1346339884 | Mohommad Sirajullah | Specialist | 1669 W Avenue J, 201, Lancaster, CA 93534-2866 | 2006-10-12 |
| 1518058023 | Edward Delmar Baker | Dentist | 1669 W Avenue J, 305, Lancaster, CA 93534-2866 | 2006-09-28 |
| 1578513818 | Jason R Lambert | Social Worker | 1669 W Avenue J, Suite 202, Lancaster, CA 93534-2866 | 2006-05-10 |
| 1497738397 | Aids Healthcare Foundation | Clinic/Center | 1669 W Avenue J, Suite 301, Lancaster, CA 93534-2866 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1295359370 | Highland Dental Group | Dentist | 830 W Avenue L Ste 129, Lancaster, CA 93534-7210 | 2020-06-03 |
| 1912488362 | Western Dental Services, Inc. | Dentist | 2004 W Avenue J, Lancaster, CA 93536-5913 | 2018-08-23 |
| 1962915603 | Elixir Solutions, LLC | Dentist | 1306 W Avenue J Ste A, Lancaster, CA 93534-2936 | 2017-11-15 |
| 1043735715 | Karen J Nam | Dentist | 3250 W Pleasant Run Rd Ste 190, Lancaster, TX 75146-1041 | 2017-08-03 |
| 1396266730 | Vista Dental Inc. | Dentist | 44601 10th St. West, Lancaster, CA 93534 | 2017-07-06 |
| 1811427040 | Leonardo Koerich De Paula | Dentist | 1212 Highway 9 Byp W, Lancaster, SC 29720-1780 | 2017-06-20 |
| 1982054847 | Alexander Golub | Dentist | 337 N Christian St, Lancaster, PA 17602-4901 | 2016-06-21 |
| 1144695362 | Paul Babakhanof, D.d.s. Incorporated | Dentist | 2809 W Avenue L, Lancaster, CA 93536-4021 | 2015-12-14 |
| 1609251248 | Sahawneh Dental Corporation | Dentist | 43456 10th St W, Lancaster, CA 93534-6004 | 2015-07-24 |
| 1992184113 | Lancasterfamilysmiles | Dentist | 1305 N Bluegrove Rd, Lancaster, TX 75134-2939 | 2015-05-20 |
| Find all providers in LANCASTER | ||||
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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.