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COFFEE DENTAL GROUP
NPI 1174869796
Dentist in Modesto, CA

Active since December 31, 2012
1130 COFFEE RD STE 1A, MODESTO, CA 95355(209) 523-5991 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coffee Dental Group NPPES

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

COFFEE DENTAL GROUP (NPI 1174869796) is a healthcare organization registered as a dentist in Modesto, California and active in the NPI registry since December 2012. The organization lists David Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1174869796
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameD PARK DDS INC
Location Address1130 COFFEE RD STE 1AModesto, CA 95355-4228
Mailing Address1130 Coffee Rd Ste 1aModesto, CA 95355-4228
Phone(209) 523-5991
Organization SubpartNo
Authorized OfficialDavid ParkOwner · (310) 403-1117
Enumeration DateDecember 31, 2012
✔ NPI 1174869796 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.
1130 COFFEE RD STE 1A, Modesto, CA 95355
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Other Names 1

Doing Business AsCoffee 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 D Park Dds Inc's NPI number?

The NPI number for D Park Dds Inc is 1174869796. It was assigned to this organization in the NPPES registry on December 31, 2012. The provider is doing business as Coffee Dental Group.

Where is D Park Dds Inc located?

D Park Dds Inc is located at 1130 Coffee Rd Ste 1A, Modesto, CA 95355. The listed phone number is (209) 523-5991.

What is D Park Dds Inc's specialty?

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

What insurance does D Park Dds Inc accept?

Health plans from UnitedHealthcare list D 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 D Park Dds Inc was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.