Samuel Park is a Tinker Afb, Oklahoma based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Samuel Park is
0401417587 for Dentistry in Virginia. His current practice location is
7050 Air Depot Blvd Bldg 1094, Tinker Afb. Patients can reach him at
954-290-7165.
Samuel Park is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Samuel 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: | Samuel Park |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 7050 Air Depot Blvd Bldg 1094, Tinker Afb,
Oklahoma, 73145-8716 |
| Phone: | 954-290-7165 |
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.
| NPI Number: | 1609448646 |
| NPI Enumeration Date: | 10 Jul, 2021 |
| NPI Last Update On: | 24 Nov, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Park are as mentioned below.
| License Number | Specialization | State | Status | |
| 0401417587 | Dentistry | Virginia | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5306 Tractor Ln,
Fairfax, Virginia |
| Zip: | 22030-7239 |
| Phone Number: | 954-290-7165 |
Patients can reach Samuel Park at
7050 Air Depot Blvd Bldg 1094, Tinker Afb, Oklahoma or can
call to book an appointment on 954-290-7165.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.