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PACIFIC DENTAL GROUP
NPI 1124572284
Dentist - General Practice in Stockton, CA

Active since August 06, 2016
7743 WEST LN STE C5, STOCKTON, CA 95210(209) 474-1101 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2022, May 10, 2021, Aug 12, 2016 (3 updates tracked since 2016).

About Pacific Dental Group NPPES

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

PACIFIC DENTAL GROUP (NPI 1124572284) is a healthcare organization registered as a general practice in Stockton, California and active in the NPI registry since August 2016. The organization lists David Sangho Park, Ceo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124572284
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameD PARK MPH DDS DENTAL CORPORATION
Location Address7743 WEST LN STE C5Stockton, CA 95210-3381
Mailing Address7743 West Ln Ste C5Stockton, CA 95210-3381 · (209) 474-1101 · Fax (209) 474-9734
Phone(209) 474-1101
Organization SubpartYes
Authorized OfficialDavid Sangho ParkCeo, Cfo · (310) 403-1117
Enumeration DateAugust 6, 2016
Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1124572284 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.
7743 WEST LN STE C5, Stockton, CA 95210
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Other Names 1

Doing Business AsPacific Dental Group

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 ›

Other Providers at the Same Location NPPES

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

LAURENT VIEN D.D.S.
Dentist (General Practice)
7743 WEST LN STE C5
STOCKTON, CA 95210
San Joaquin County (209) 474-1101

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 D Park Mph Dds Dental Corporation's NPI number?

The NPI number for D Park Mph Dds Dental Corporation is 1124572284. It was assigned to this organization in the NPPES registry on August 6, 2016. The provider is doing business as Pacific Dental Group.

Where is D Park Mph Dds Dental Corporation located?

D Park Mph Dds Dental Corporation is located at 7743 West Ln Ste C5, Stockton, CA 95210. The listed phone number is (209) 474-1101.

What is D Park Mph Dds Dental Corporation's specialty?

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

What insurance does D Park Mph Dds Dental Corporation accept?

Health plans from UnitedHealthcare list D Park Mph Dds Dental Corporation 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 D Park Mph Dds Dental Corporation was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.