ETHAN PARK DMD INC
NPI 1275117491
Dentist - General Practice in Temple City, CA

Q: What is Ethan Park Dmd Inc's NPI number?

The NPI number for Ethan Park Dmd Inc is 1275117491. It was assigned to this organization in the NPPES registry on May 12, 2021.

Q: What is Ethan Park Dmd Inc's specialty?

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

Active since May 12, 2021

5728 ROSEMEAD BLVD SUITE 220, TEMPLE CITY, CA 91780(626) 500-4340(626) 544-5335 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 13, 2023, May 12, 2021 (2 updates tracked since 2021).

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About Ethan Park Dmd Inc NPPES

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

ETHAN PARK DMD INC (NPI 1275117491) is a healthcare organization registered as a general practice in Temple City, California and active in the NPI registry since May 2021. The organization lists Ethan Sb Park, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1275117491

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameETHAN PARK DMD INC

Location Address5728 ROSEMEAD BLVD SUITE 220Temple City, CA 91780-1814

Mailing Address5728 Rosemead Blvd Unit 220Temple City, CA 91780-1814 · (626) 544-5335 · Fax (626) 544-5335

Phone(626) 500-4340

Fax(626) 544-5335

Organization SubpartNo

Authorized OfficialEthan Sb ParkOwner Dentist · (213) 220-4856

Enumeration DateMay 12, 2021

Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration

NPPES CertifiedJuly 13, 2023

✔ NPI 1275117491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

5728 ROSEMEAD BLVD SUITE 220, Temple City, CA 91780

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Other Identifiers 1

Other100873CA · Dentist

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 Ethan Park Dmd Inc's NPI number?

The NPI number for Ethan Park Dmd Inc is 1275117491. It was assigned to this organization in the NPPES registry on May 12, 2021.

Where is Ethan Park Dmd Inc located?

Ethan Park Dmd Inc is located at 5728 Rosemead Blvd Suite 220, Temple City, CA 91780. The listed phone number is (626) 500-4340.

What is Ethan Park Dmd Inc's specialty?

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

What insurance does Ethan Park Dmd Inc accept?

Health plans from UnitedHealthcare list Ethan Park Dmd 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 Ethan Park Dmd Inc was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.