Ethan Park DMD Inc
NPI 1275117491ActiveOrganization· Dentist, General Practice· Temple City, CA
Dentist, General Practice in Temple City, California, registered in NPPES in May 2021. The authorized official on file is Ethan Sb Park, DDS, Owner Dentist.
Overview
| NPI | 1275117491 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2021 |
| Last updated in NPPES | Jul 13, 2023 |
| Certified by provider | Jul 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Clinic/Center, Dental | 261QD0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general dentists in Temple City
- 1053843359
- 1124236294
- 1598976250
- 1659438166
- 1669849238
- 1750413886
- 1811255474
- 1861616500
- 1033025564
- 1164615324
- 1174857130
- 1295250942
All 42 general dentists in Temple City · All general dentists in California