Park Professional Dental Corp is a Dental Clinic in Los Angeles, California. It is located at 600 W Manchester Ave Ste 2, Los Angeles, CA and its contact number is 323-750-1582. The authorized person for Park Professional Dental Corp is Michelle Peevy
who is Rdo of the clinic and their contact number is 661-430-3283. The primary license number for Park Professional Dental Corp is 53724 (Dentist) in California. Park Professional Dental Corp 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 Professional Dental Corp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Park Professional Dental Corp
Specialization:
Dentistry
Clinic Address:
600 W Manchester Ave Ste 2, Los Angeles, California, 90044
Phone:
323-750-1582
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:
Michelle Peevy
Position:
Rdo
Contact Number:
661-430-3283
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 Professional Dental Corp clinic are as mentioned below.
NPI Number:
1386135671
NPI Enumeration Date:
23 May, 2018
NPI Last Update On:
03 Jul, 2018
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 Professional Dental Corp are as mentioned below.
Specialization
License Number
State
Status
Dentist
53724
California
Primary
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
53724
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 Professional Dental Corp 600 W Manchester Ave Ste 2, Los Angeles, California
Zip:
90044-5700
Phone Number:
323-750-1582
Patients can reach Park Professional Dental Corp at 600 W Manchester Ave Ste 2, Los Angeles, California or can call to book an appointment on 323-750-1582. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.