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MR. SOO TAE PARK DDS
NPI 1124084728
Dentist in Lancaster, CA

Active since April 22, 2006
44841 N 10TH ST W, LANCASTER, CA 93534(661) 948-1655(661) 940-9636 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Soo Tae Park Dds NPPES

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

MR. SOO TAE PARK DDS (NPI 1124084728) is an individual dentist in Lancaster, California, licensed in California (33967) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1124084728
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. SOO TAE PARKCredential: DDS
Location Address44841 N 10TH ST WLancaster, CA 93534
Mailing Address44841 N 10th St WLancaster, CA 93534 · (661) 948-1655 · Fax (661) 940-9636
Phone(661) 948-1655
Fax(661) 940-9636
Sole ProprietorYes
Enumeration DateApril 22, 2006
Last NPPES UpdateOctober 9, 2013
✔ NPI 1124084728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 33967
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
44841 N 10TH ST W, Lancaster, CA 93534
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Other Identifiers 1

MedicaidG9225701CA

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

MR. STUART S MAC PHERSON DDS
Dentist
44841 N 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 948-1655
SOO T PARK DDS INC
Dentist
44841 N 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 948-1655

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 Soo Park's NPI number?

The NPI number for Soo Park is 1124084728. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Soo Park located?

Soo Park practices at 44841 N 10th St W, Lancaster, CA 93534. The listed phone number is (661) 948-1655.

What is Soo Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Soo Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Soo 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 Soo Park was last updated on October 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.