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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMY HYEMIN PARK
NPI 1164360996
Dentist in Travis Afb, CA

Active since March 23, 2026
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-7000 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Hyemin Park NPPES

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

AMY HYEMIN PARK (NPI 1164360996) is an individual dentist in Travis Afb, California, licensed in California (113391) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1164360996
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameAMY HYEMIN PARK
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (707) 423-7000
Phone(707) 423-7000
Sole ProprietorNo
Enumeration DateMarch 23, 2026
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1164360996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 113391
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.
101 BODIN CIR, Travis Afb, CA 94535
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Other Providers at the Same Location NPPES 20

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

EDWARD SEAN RODRIGUEZ I.D.M.T
Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-5478
KENDRA MONICA HILL PT
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
TIMOTHY GUENTHER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
ANGELA GIESE MD
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 423-3000
DR. JOSCELYN D. A. C. AQUININGOC PHARMD
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (626) 297-8649
CATHERINE CELINE BRANSTETTER
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7085
MEGAN ELIZABETH LEE MD
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 423-3000
DR. STEVEN DANIEL DEMARTINI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000

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 Amy Park's NPI number?

The NPI number for Amy Park is 1164360996. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Amy Park located?

Amy Park practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-7000.

What is Amy Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Amy Park was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.