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CONNOR NICHOLAS PARK DDS
NPI 1174407902
Dentist in Lakewood, WA

Active since August 04, 2025
5440 STEILACOOM BLVD SW APT 304, LAKEWOOD, WA 98499(541) 953-7862 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Connor Nicholas Park Dds NPPES

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

CONNOR NICHOLAS PARK DDS (NPI 1174407902) is an individual dentist in Lakewood, Washington, licensed in Utah (14226880-9926) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1174407902
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCONNOR NICHOLAS PARKCredential: DDS
Location Address5440 STEILACOOM BLVD SW APT 304Lakewood, WA 98499-3457
Mailing Address5440 Steilacoom Blvd Sw Apt 304Lakewood, WA 98499-3457 · (541) 953-7862
Phone(541) 953-7862
Sole ProprietorYes
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1174407902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 14226880-9926
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.
5440 STEILACOOM BLVD SW APT 304, Lakewood, WA 98499
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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 Connor Park's NPI number?

The NPI number for Connor Park is 1174407902. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Connor Park located?

Connor Park practices at 5440 Steilacoom Blvd SW Apt 304, Lakewood, WA 98499. The listed phone number is (541) 953-7862.

What is Connor 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 Connor Park was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.