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TAE EEN PARK,D.D.S.,INC
NPI 1063889558
Clinic/Center - Dental in Oakdale, CA

Active since August 31, 2015
190 S OAK AVE STE 6, OAKDALE, CA 95361(209) 847-2800(209) 847-2929 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tae Een Park,d.d.s.,inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAE EEN PARK,D.D.S.,INC (NPI 1063889558) is a healthcare organization registered as a dental in Oakdale, California and active in the NPI registry since August 2015. The organization lists Tae Een Park, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063889558
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTAE EEN PARK,D.D.S.,INC
Location Address190 S OAK AVE STE 6Oakdale, CA 95361-3528
Mailing Address190 S. Oak Ave Bldg 3 Ste 6Oakdale, CA 95361 · (209) 847-2800 · Fax (209) 847-2929
Phone(209) 847-2800
Fax(209) 847-2929
Organization SubpartNo
Authorized OfficialTae Een ParkCeo · (209) 847-2800
Enumeration DateAugust 31, 2015
✔ NPI 1063889558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CA · 56889
190 S OAK AVE STE 6, Oakdale, CA 95361
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tae Een Park,d.D.S.,inc's NPI number?

The NPI number for Tae Een Park,d.D.S.,inc is 1063889558. It was assigned to this organization in the NPPES registry on August 31, 2015.

Where is Tae Een Park,d.D.S.,inc located?

Tae Een Park,d.D.S.,inc is located at 190 S Oak Ave Ste 6, Oakdale, CA 95361. The listed phone number is (209) 847-2800.

What is Tae Een Park,d.D.S.,inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Tae Een Park,d.D.S.,inc accept?

Health plans from UnitedHealthcare list Tae Een Park,d.D.S.,inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tae Een Park,d.D.S.,inc was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.