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ANDREW C PARK DMD
NPI 1407040116
Dentist - Endodontics in San Diego, CA

Active since September 05, 2007
43000 MIDWAY AVE BLDG 595, SAN DIEGO, CA 92140(619) 524-4005 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew C Park Dmd NPPES

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

ANDREW C PARK DMD (NPI 1407040116) is an individual endodontics provider in San Diego, California, licensed in California (59312) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1407040116
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameANDREW C PARKCredential: DMD
Location Address43000 MIDWAY AVE BLDG 595San Diego, CA 92140-5692
Mailing Address43000 Midway Ave Bldg 595San Diego, CA 92140-5692 · (619) 524-4005
Phone(619) 524-4005
Sole ProprietorNo
Enumeration DateSeptember 5, 2007
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1407040116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 59312
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
43000 MIDWAY AVE BLDG 595, San Diego, CA 92140
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXANDER KAREEM DESTA D.D.S.
Dentist (Endodontics)
43000 MIDWAY AVE BLDG 595
SAN DIEGO, CA 92140
San Diego County (619) 524-4009
DR. STEPHEN R HOYEM DDS
Dentist (General Practice)
43000 MIDWAY AVE BLDG 595, MCRD
SAN DIEGO, CA 92140
San Diego County (619) 524-4005
DR. MONICA HAEWON LEE DMD
Dentist
43000 MIDWAY AVE BLDG 595
SAN DIEGO, CA 92140
San Diego County (678) 451-8513
MARCUS ANDREW THAYN DDS
Dentist (General Practice)
43000 MIDWAY AVE BLDG 595
SAN DIEGO, CA 92140
San Diego County (619) 524-4009
ERIC N ROJAS
Dental Hygienist
43000 MIDWAY AVE BLDG 595
SAN DIEGO, CA 92140
San Diego County (619) 524-4009

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 Andrew Park's NPI number?

The NPI number for Andrew Park is 1407040116. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Where is Andrew Park located?

Andrew Park practices at 43000 Midway Ave Bldg 595, San Diego, CA 92140. The listed phone number is (619) 524-4005.

What is Andrew Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Andrew Park was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.