DR. SUSAN LEE PARK DDS
NPI 1306921515
Dentist - General Practice in Palo Alto, CA

Q: What is Susan Park's NPI number?

The NPI number for Susan Park is 1306921515. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Susan Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 26, 2006

2875 MIDDLEFIELD RD STE 1, PALO ALTO, CA 94306(650) 321-4035(650) 321-2367 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Susan Lee Park Dds NPPES

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

DR. SUSAN LEE PARK DDS (NPI 1306921515) is an individual general practice provider in Palo Alto, California, licensed in California (30806) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1306921515

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUSAN LEE PARKCredential: DDS

Location Address2875 MIDDLEFIELD RD STE 1Palo Alto, CA 94306-2548

Mailing Address2875 Middlefield Rd Ste 1Palo Alto, CA 94306-2548 · (650) 321-4035 · Fax (650) 321-2367

Phone(650) 321-4035

Fax(650) 321-2367

Sole ProprietorYes

Enumeration DateOctober 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306921515 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 · 30806

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.

2875 MIDDLEFIELD RD STE 1, Palo Alto, CA 94306

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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.

DR. JAMES DANA STEPHENS DDS

Dentist (General Practice)

2875 MIDDLEFIELD RD STE 1
PALO ALTO, CA 94306

Santa Clara County (650) 321-9693

DR. SHIV SHANKER SHARMA DDS

Dentist

2875 MIDDLEFIELD RD STE 1
PALO ALTO, CA 94306

Santa Clara County (650) 200-3208

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 Susan Park's NPI number?

The NPI number for Susan Park is 1306921515. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Susan Park located?

Susan Park practices at 2875 Middlefield Rd Ste 1, Palo Alto, CA 94306. The listed phone number is (650) 321-4035.

What is Susan Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.