PREMIER DENTAL GROUP
NPI 1124433750
Dentist in Sacramento, CA

Q: What is Sangho Park Dds Inc.'s NPI number?

The NPI number for Sangho Park Dds Inc. is 1124433750. It was assigned to this organization in the NPPES registry on June 23, 2014. The provider is doing business as Premier Dental Group.

Q: What is Sangho Park Dds Inc.'s specialty?

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

Active since June 23, 2014

3517 MARCONI AVE STE 104 AND 105, SACRAMENTO, CA 95821(310) 403-1117 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Premier Dental Group NPPES

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

PREMIER DENTAL GROUP (NPI 1124433750) is a healthcare organization registered as a dentist in Sacramento, California and active in the NPI registry since June 2014. The organization lists David S Park, Dentist, as its authorized official.

NPPES Registry Identity

NPI1124433750

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSANGHO PARK DDS INC.

Location Address3517 MARCONI AVE STE 104 AND 105Sacramento, CA 95821

Mailing Address3517 Marconi Ave Ste 104 And 105Sacramento, CA 95821 · (310) 403-1117

Phone(310) 403-1117

Organization SubpartNo

Authorized OfficialDavid S ParkDentist · (310) 403-1117

Enumeration DateJune 23, 2014

✔ NPI 1124433750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 53724

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.

3517 MARCONI AVE STE 104 AND 105, Sacramento, CA 95821

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Other Names 1

Doing Business AsPremier Dental Group

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 Sangho Park Dds Inc.'s NPI number?

The NPI number for Sangho Park Dds Inc. is 1124433750. It was assigned to this organization in the NPPES registry on June 23, 2014. The provider is doing business as Premier Dental Group.

Where is Sangho Park Dds Inc. located?

Sangho Park Dds Inc. is located at 3517 Marconi Ave Ste 104 And 105, Sacramento, CA 95821. The listed phone number is (310) 403-1117.

What is Sangho Park Dds Inc.'s specialty?

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

What insurance does Sangho Park Dds Inc. accept?

Health plans from UnitedHealthcare list Sangho 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 Sangho Park Dds Inc. was last updated on June 23, 2014. 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.