Ethan Sb Park is a Temple City, California based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ethan Sb Park is
100873 for Dentistry in California. His current practice location is
5728 Rosemead Blvd Unit 220, Temple City. Patients can reach him at
626-500-4340.
Ethan Sb 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:
Ethan Sb 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: | Ethan Sb Park |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 5728 Rosemead Blvd Unit 220, Temple City,
California, 91780-1814 |
| Phone: | 626-500-4340 |
| Fax: | 626-544-5335 |
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: | 1144779828 |
| NPI Enumeration Date: | 23 Sep, 2016 |
| NPI Last Update On: | 12 Jul, 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 Ethan Sb Park are as mentioned below.
| License Number | Specialization | State | Status | |
| 100873 | Dentistry | California | Primary | |
| 100873 | General Practice Dentistry | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ethan Sb Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100873 | Other | California | DENTIST |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5728 Rosemead Blvd Unit 220,
Temple City, California |
| Zip: | 91780-1814 |
| Phone Number: | 626-500-4340 |
| Fax Number: | 626-544-5335 |
Patients can reach Ethan Sb Park at
5728 Rosemead Blvd Unit 220, Temple City, California or can
call to book an appointment on 626-500-4340.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.