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

ETHAN SB PARK
NPI 1144779828
Dentist in Temple City, CA

Active since September 23, 2016
5728 ROSEMEAD BLVD UNIT 220, TEMPLE CITY, CA 91780(626) 500-4340(626) 544-5335 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Sep 23, 2016 (2 updates tracked since 2016).

About Ethan Sb Park NPPES

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

ETHAN SB PARK (NPI 1144779828) is an individual dentist in Temple City, California, licensed in California (100873) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1144779828
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameETHAN SB PARK
Location Address5728 ROSEMEAD BLVD UNIT 220Temple City, CA 91780-1814
Mailing Address5728 Rosemead Blvd Unit 220Temple City, CA 91780-1814 · (626) 500-4340 · Fax (626) 544-5335
Phone(626) 500-4340
Fax(626) 544-5335
Sole ProprietorYes
Enumeration DateSeptember 23, 2016
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1144779828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 100873
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 100873 (CA)
5728 ROSEMEAD BLVD UNIT 220, Temple City, CA 91780
Open in Google Maps ↗

Other Identifiers 1

Other100873CA · Dentist

Accepted Insurance

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

The NPI number for Ethan Park is 1144779828. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Where is Ethan Park located?

Ethan Park practices at 5728 Rosemead Blvd Unit 220, Temple City, CA 91780. The listed phone number is (626) 500-4340.

What is Ethan Park's specialty?

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

What insurance does Ethan Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Ethan 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 Ethan Park was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.