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ALICE PARK
NPI 1558047712
Dentist - General Practice in San Diego, CA

Active since June 23, 2023
2310 CRAVEN ST, SAN DIEGO, CA 92136(619) 556-8240 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alice Park NPPES

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

ALICE PARK (NPI 1558047712) is an individual general practice provider in San Diego, California, licensed in California (112159) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1558047712
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameALICE PARK
Location Address2310 CRAVEN STSan Diego, CA 92136-4020
Mailing Address12198 Ferncrest PlSan Diego, CA 92128-4349 · (858) 442-5455
Phone(619) 556-8240
Sole ProprietorNo
Enumeration DateJune 23, 2023
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1558047712 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 · 112159
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.
2310 CRAVEN ST, San Diego, CA 92136
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Other Providers at the Same Location NPPES 20

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

DR. WAYNE MICHAEL DEUTSCH DDS, MPH
Dentist (Dental Public Health)
2310 CRAVEN ST
SAN DIEGO, CA 92136
San Diego County (619) 556-8210
MRS. DESIREE ROSE GATBONTON RDH
Dental Hygienist
2310 CRAVEN ST
SAN DIEGO, CA 92136
San Diego County (619) 556-9984
DR. JESSE PAUL PORTER DDS
Dentist
2310 CRAVEN ST, NDMC 32ND ST. BLDG. 3230
SAN DIEGO, CA 92136
San Diego County (619) 556-1581
ALAN HSIANG-SHANG CHEN DDS
Dentist
2310 CRAVEN ST
SAN DIEGO, CA 92136
San Diego County (619) 556-9193
DR. JEFFREY ALAN WILLIS DDS, MS
Dentist (Prosthodontics)
2310 CRAVEN ST
SAN DIEGO, CA 92136
San Diego County (619) 556-9095
DR. ERIKA KULLBERG DMD
Dentist (General Practice)
2310 CRAVEN ST
SAN DIEGO, CA 92136
San Diego County (619) 556-8248
ANNA VEITZMAN D.D.S.
Dentist (General Practice)
2310 CRAVEN ST
SAN DIEGO, CA 92136
San Diego County (619) 556-8240
MARIA ELOISA ALMAZAR RDH
Dental Hygienist
2310 CRAVEN ST
SAN DIEGO, CA 92136
San Diego County (619) 556-8240

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 Alice Park's NPI number?

The NPI number for Alice Park is 1558047712. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Alice Park located?

Alice Park practices at 2310 Craven St, San Diego, CA 92136. The listed phone number is (619) 556-8240.

What is Alice 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 Alice Park was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.