DR. ERIC SONG JOON PARK D.D.S.
NPI 1356560916
Dentist - General Practice in South Lake Tahoe, CA

Q: What is Eric Park's NPI number?

The NPI number for Eric Park is 1356560916. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Eric 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 Eric 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 April 24, 2007

2180 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(530) 541-3893 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. Eric Song Joon Park D.d.s. NPPES

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

DR. ERIC SONG JOON PARK D.D.S. (NPI 1356560916) is an individual general practice provider in South Lake Tahoe, California, licensed in California (48533) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1356560916

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ERIC SONG JOON PARKCredential: D.D.S.

Location Address2180 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-6418

Mailing Address2180 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-6418 · (530) 541-3893

Phone(530) 541-3893

Sole ProprietorYes

Enumeration DateApril 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1356560916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in CA · 48533✔ Licensed in NV · 4852

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.

2180 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150

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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 Eric Park's NPI number?

The NPI number for Eric Park is 1356560916. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Eric Park located?

Eric Park practices at 2180 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-3893.

What is Eric Park's specialty?

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

What insurance does Eric Park accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Eric 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 Eric 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.