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YONG TAE PARK NPI 1952969354


NPI Information

NPI: 1952969354
Provider Name: YONG TAE PARK
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
9184 E STOCKTON BLVD STE A
ELK GROVE, CA
ZIP 95624
Phone: (201) 835-6802
Get Directions

Yong Tae Park is an endodontics dentist in Elk Grove, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Yong Tae Park NPI is 1952969354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9184 E STOCKTON BLVD STE A
ELK GROVE, CA
ZIP 95624-510
Phone: (201) 835-6802

The enumeration date for this NPI number is 5/31/2019 and was last updated on 4/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsDDS103561CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.