Park Dental Group is a Dental Clinic in Lancaster, California. It is located at 44841 N 10th St W, Lancaster, CA and its contact number is 661-948-1655. The authorized person for Park Dental Group is Mr. Soo Tae Park
who is Owner President of the clinic and their contact number is 661-948-1655. The primary license number for Park Dental Group is 33967 (Dentist) in California. Park Dental Group Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Park Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Park Dental Group
Specialization:
Dentistry
Clinic Address:
44841 N 10th St W, Lancaster, California, 93534
Phone:
661-948-1655
Fax:
661-940-9636
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Soo Tae Park
Position:
Owner President
Contact Number:
661-948-1655
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Park Dental Group clinic are as mentioned below.
NPI Number:
1679538037
NPI Enumeration Date:
19 Apr, 2006
NPI Last Update On:
09 Oct, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park Dental Group are as mentioned below.
Specialization
License Number
State
Status
Dentist
33967
California
Primary
Dentist
22315
California
Secondary
Dentist
16496
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
G9225701
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Park Dental Group 44841 N 10th St W, Lancaster, California
Zip:
93534
Phone Number:
661-948-1655
Fax Number:
661-940-9636
Patients can reach Park Dental Group at 44841 N 10th St W, Lancaster, California or can call to book an appointment on 661-948-1655. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.