S Park DDS Inc
NPI 1558763771ActiveOrganization· Dentist, General Practice· Elk Grove, CA
Dentist, General Practice in Elk Grove, California, registered in NPPES in September 2014. The authorized official on file is David Sangho Park, DDS, Dentist/President.
Overview
| NPI | 1558763771 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2014 |
| Last updated in NPPES | Dec 4, 2020 |
| Certified by provider | Dec 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 53724 | CA |
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 Elk Grove
- 1043887060
- 1083606388
- 1144388141
- 1194908103
- 1285286203
- 1326224924
- 1396925327
- 1407947401
- 1417039561
- 1447448089
- 1497127443
- 1528264173
All 115 general dentists in Elk Grove · All general dentists in California