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DR. MIOAK K. PARK D.D.S.
NPI 1104961192
Dentist - General Practice in Fremont, CA

Active since February 20, 2007
39260 PASEO PADRE PKWY, FREMONT, CA 94538(510) 791-2111(510) 791-0102 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mioak K. Park D.d.s. NPPES

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

DR. MIOAK K. PARK D.D.S. (NPI 1104961192) is an individual general practice provider in Fremont, California, licensed in California (43837) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104961192
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MIOAK K. PARKCredential: D.D.S.
Location Address39260 PASEO PADRE PKWYFremont, CA 94538-1616
Mailing Address39260 Paseo Padre PkwyFremont, CA 94538-1616 · (510) 791-2111 · Fax (510) 791-0102
Phone(510) 791-2111
Fax(510) 791-0102
Sole ProprietorYes
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJune 1, 2011
✔ NPI 1104961192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 43837
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.

39260 PASEO PADRE PKWY, Fremont, CA 94538
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.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 Mioak Park's NPI number?

The NPI number for Mioak Park is 1104961192. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Mioak Park located?

Mioak Park practices at 39260 Paseo Padre Pkwy, Fremont, CA 94538. The listed phone number is (510) 791-2111.

What is Mioak Park's specialty?

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

What insurance does Mioak Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Mioak 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 Mioak Park was last updated on June 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.