OXY DENTAL
NPI 1255935771
Clinic/Center - Dental in South Gate, CA

Active since November 25, 2020
12122 GARFIELD AVE, SOUTH GATE, CA 90280(714) 501-3433 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2021, Nov 25, 2020 (2 updates tracked since 2020).

About Oxy Dental NPPES

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

OXY DENTAL (NPI 1255935771) is a healthcare organization registered as a dental in South Gate, California and active in the NPI registry since November 2020. The organization lists Timothy Changkeun Park, Head Doctor, as its authorized official.

NPPES Registry Identity

NPI1255935771
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTIMOTHY C PARK DDS, INC
Location Address12122 GARFIELD AVESouth Gate, CA 90280-8033
Mailing Address12124 Garfield AveSouth Gate, CA 90280-8033 · (323) 775-9070
Organization SubpartNo
Authorized OfficialTimothy Changkeun ParkHead Doctor · (714) 501-3433
Enumeration DateNovember 25, 2020
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1255935771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
12122 GARFIELD AVE, South Gate, CA 90280

Other Names 1

Doing Business AsOxy Dental

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 Timothy C Park Dds, Inc's NPI number?

The NPI number for Timothy C Park Dds, Inc is 1255935771. It was assigned to this organization in the NPPES registry on November 25, 2020. The provider is doing business as Oxy Dental.

Where is Timothy C Park Dds, Inc located?

Timothy C Park Dds, Inc is located at 12122 Garfield Ave, South Gate, CA 90280. The listed phone number is (714) 501-3433.

What is Timothy C Park Dds, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Timothy C Park Dds, Inc was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.