TIMOTHY C PARK DDS INC NPI 1255935771

NPI Information

NPI: 1255935771
Provider Name: TIMOTHY C PARK DDS, INC

Doing Business As: OXY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
12122 GARFIELD AVE
SOUTH GATE, CA
ZIP 90280
Phone: (714) 501-3433
Get Directions

TIMOTHY C PARK DDS, INC is a dental clinic center in South Gate, CA. TIMOTHY C PARK DDS, INC NPI is 1255935771. The provider is registered as an organization entity type.
The provider Is Doing Business As Oxy Dental.

The provider's business location address is:

12122 GARFIELD AVE
SOUTH GATE, CA
ZIP 90280-033
Phone: (714) 501-3433

The provider's authorized official is Timothy Changkeun Park .
The authorized official title is Head Doctor and has the following contact phone number (714) 501-3433.

The enumeration date for this NPI number is 11/25/2020 and was last updated on 1/14/2021.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

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