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CHILDREN & ADULT DENTISTRY- SANTA ANA
NPI 1194215442
Dentist - General Practice in Santa Ana, CA

Active since May 12, 2018
512 W 17TH ST STE B, SANTA ANA, CA 92706(714) 210-0169(714) 972-0162 Get Directions Write a Review

NPPES record last updated: May 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Children & Adult Dentistry- Santa Ana NPPES

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

CHILDREN & ADULT DENTISTRY- SANTA ANA (NPI 1194215442) is a healthcare organization registered as a general practice in Santa Ana, California and active in the NPI registry since May 2018. The organization lists David Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1194215442
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameD PARK PROFESSIONAL DENTAL CORP
Location Address512 W 17TH ST STE BSanta Ana, CA 92706-3678
Mailing Address512 W 17th St Ste BSanta Ana, CA 92706-3678 · (714) 210-0169 · Fax (714) 972-0162
Phone(714) 210-0169
Fax(714) 972-0162
Organization SubpartNo
Authorized OfficialDavid ParkOwner · (714) 210-0169
Enumeration DateMay 12, 2018
✔ NPI 1194215442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 53724
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.
512 W 17TH ST STE B, Santa Ana, CA 92706
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Other Names 1

Doing Business AsChildren & Adult Dentistry- Santa Ana

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 2

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

NGUYEN & FOSTER CORP
Dentist (General Practice)
512 W 17TH ST STE B
SANTA ANA, CA 92706
Orange County (714) 210-0169
CYNTHIA LE DDS
Dentist
512 W 17TH ST STE B
SANTA ANA, CA 92706
Orange County (714) 210-0169

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 Professional Dental Corp's NPI number?

The NPI number for D Park Professional Dental Corp is 1194215442. It was assigned to this organization in the NPPES registry on May 12, 2018. The provider is doing business as Children & Adult Dentistry- Santa Ana.

Where is D Park Professional Dental Corp located?

D Park Professional Dental Corp is located at 512 W 17th St Ste B, Santa Ana, CA 92706. The listed phone number is (714) 210-0169.

What is D Park Professional Dental Corp's specialty?

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

What insurance does D Park Professional Dental Corp accept?

Health plans from UnitedHealthcare list D Park Professional Dental Corp 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 Professional Dental Corp was last updated on May 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.