SUSAN PARK D.D.S.
NPI 1104230838
Dentist - General Practice in Houston, TX

Q: What is Susan Park's NPI number?

The NPI number for Susan Park is 1104230838. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Q: What is Susan Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Susan Park was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 20, 2014

3607 OLD SPANISH TRL, SUITE G, HOUSTON, TX 77021(281) 747-9500 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Park D.d.s. NPPES

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

SUSAN PARK D.D.S. (NPI 1104230838) is an individual general practice provider in Houston, Texas, licensed in Texas (32105) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1104230838

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSUSAN PARKCredential: D.D.S.

Location Address3607 OLD SPANISH TRL, SUITE GHouston, TX 77021

Mailing Address3607 Old Spanish Trl, Suite GHouston, TX 77021-2312 · (281) 747-9500

Phone(281) 747-9500

Sole ProprietorNo

Enumeration DateJune 20, 2014

Last NPPES UpdateNovember 2, 2016

✔ NPI 1104230838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 32105

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 63372 (CA)

3607 OLD SPANISH TRL, Houston, TX 77021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH HOUSTON MINT DENTISTRY, PLLC

Clinic/Center (Dental)

3607 OLD SPANISH TRL
HOUSTON, TX 77021

Harris County (713) 692-6468

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 Susan Park's NPI number?

The NPI number for Susan Park is 1104230838. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Susan Park located?

Susan Park practices at 3607 Old Spanish Trl Suite G, Houston, TX 77021. The listed phone number is (281) 747-9500.

What is Susan Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Susan Park accept?

Health plans from Anthem Blue Cross and Blue Shield list Susan Park 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 Susan Park was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.