Dr. Mindy Park is a Northridge, California based Dentist with
22 years of experience in
General Practice Dentistry. She completed her graduation from
Columbia University College Of Dental Medicine in 2004. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mindy Park is
54241 for Oral and Maxillofacial Surgery in California. Her current practice location is
8345 Reseda Blvd. #101, Northridge. Patients can reach her at
818-576-9990.
Dr. Mindy Park is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Mindy Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Mindy Park |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Experience: | 22+ years |
| Medical School Attended: | Columbia University College Of Dental Medicine |
| Graduation Year: | 2004 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 8345 Reseda Blvd. #101, Northridge,
California, 91324 |
| Phone: | 818-576-9990 |
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 are as mentioned below.
| PAC ID: | 8628335502 |
| Enrollment ID: | I20171130002827 |
| NPI Number: | 1417257767 |
| NPI Enumeration Date: | 02 Nov, 2010 |
| NPI Last Update On: | 11 Oct, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mindy Park are as mentioned below.
| License Number | Specialization | State | Status | |
| 54241 | Oral and Maxillofacial Surgery | California | Primary | |
| 54241 | General Practice Dentistry | California | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Mindy Park is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Valley Ace Dental Group Joint (1052677820) | 2 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8345 Reseda Blvd. #101,
Northridge, California |
| Zip: | 91324 |
Patients can reach Dr. Mindy Park at
8345 Reseda Blvd. #101, Northridge, California or can
call to book an appointment on 818-576-9990.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.