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D Park Mph DDS Dental Corporation

NPI 1609450006ActiveOrganization· Dentist, General Practice· Tracy, CA

Dentist, General Practice in Tracy, California, registered in NPPES in May 2021, part of D Park Mph DDS Dental Corporation. The authorized official on file is David S. Park, Dds/Ceo.

Overview

NPI1609450006
StatusActive
Entity typeOrganization (subpart)
Parent organizationD Park Mph DDS Dental Corporation
NPI issuedMay 11, 2021
Last updated in NPPESMay 12, 2021
Certified by providerMay 12, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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