1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Dentist
  6. NPI Profile

SMILE DENTAL OF SOUTH SACRAMENTO
NPI 1104422245
Dentist - General Practice in Sacramento, CA

Active since December 04, 2020
6163 MACK RD, SACRAMENTO, CA 95823(888) 585-3368(661) 471-2121 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smile Dental Of South Sacramento NPPES

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

SMILE DENTAL OF SOUTH SACRAMENTO (NPI 1104422245) is a healthcare organization registered as a general practice in Sacramento, California and active in the NPI registry since December 2020. The organization lists David S Park, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1104422245
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameS PARK DDS INC
Location Address6163 MACK RDSacramento, CA 95823-4654
Mailing Address6163 Mack RdSacramento, CA 95823-4654 · (888) 585-3368 · Fax (661) 471-2121
Phone(888) 585-3368
Fax(661) 471-2121
Organization SubpartYes
Authorized OfficialDavid S ParkDentist/owner · (310) 403-1117
Enumeration DateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1104422245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
6163 MACK RD, Sacramento, CA 95823
Open in Google Maps ↗

Other Names 1

Doing Business AsSmile Dental Of South Sacramento

Other Identifiers 1

Medicaid53724CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 S Park Dds Inc's NPI number?

The NPI number for S Park Dds Inc is 1104422245. It was assigned to this organization in the NPPES registry on December 4, 2020. The provider is doing business as Smile Dental Of South Sacramento.

Where is S Park Dds Inc located?

S Park Dds Inc is located at 6163 Mack Rd, Sacramento, CA 95823. The listed phone number is (888) 585-3368.

What is S Park Dds Inc's specialty?

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

What insurance does S Park Dds Inc accept?

Health plans from UnitedHealthcare list S Park Dds 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 S Park Dds Inc was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.