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RAPHAEL S PARK DDS
NPI 1285119826
Dentist in Chatan, OKINAWA

Active since September 29, 2018
BDC EVANS, CHATAN, OKINAWA 96379(714) 681-0303 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2025, May 7, 2019, Sep 29, 2018 (3 updates tracked since 2018).

About Raphael S Park Dds NPPES

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

RAPHAEL S PARK DDS (NPI 1285119826) is an individual dentist in Chatan, OKINAWA, licensed in California (DDS103191) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1285119826
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRAPHAEL S PARKCredential: DDS
Location AddressBDC EVANSChatan, OKINAWA 96379
Mailing Address2115 Avenida SoledadFullerton, CA 92833-1314 · (714) 681-0303
Phone(714) 681-0303
Sole ProprietorNo
Enumeration DateSeptember 29, 2018
Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1285119826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS103191
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.
BDC EVANS, Chatan, OKINAWA 96379
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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 Raphael Park's NPI number?

The NPI number for Raphael Park is 1285119826. It was assigned to this individual provider in the NPPES registry on September 29, 2018.

Where is Raphael Park located?

Raphael Park practices at Bdc Evans, Chatan, OKINAWA 96379. The listed phone number is (714) 681-0303.

What is Raphael Park's specialty?

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

What insurance does Raphael Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Raphael Park 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 Raphael Park was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.