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SMILE DENTAL OF TRACY
NPI 1609450006
Dentist - General Practice in Tracy, CA

Active since May 11, 2021
2616 PAVILION PKWY STE 104, TRACY, CA 95304(209) 839-8333(209) 839-8338 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smile Dental Of Tracy NPPES

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

SMILE DENTAL OF TRACY (NPI 1609450006) is a healthcare organization registered as a general practice in Tracy, California and active in the NPI registry since May 2021. The organization lists David S Park, Dds/ceo, as its authorized official.

NPPES Registry Identity

NPI1609450006
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameD PARK MPH DDS DENTAL CORPORATION
Location Address2616 PAVILION PKWY STE 104Tracy, CA 95304-9408
Mailing Address2616 Pavilion Pkwy Ste 104Tracy, CA 95304-9408 · (209) 839-8333 · Fax (209) 839-8338
Phone(209) 839-8333
Fax(209) 839-8338
Organization SubpartYes
Authorized OfficialDavid S ParkDds/ceo · (310) 403-1117
Enumeration DateMay 11, 2021
Last NPPES UpdateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1609450006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2616 PAVILION PKWY STE 104, Tracy, CA 95304
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Other Names 1

Doing Business AsSmile Dental Of Tracy

Other Identifiers 1

Medicaid53724CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ASHU SHARMA
Dentist
2616 PAVILION PKWY STE 104
TRACY, CA 95304
San Joaquin County (209) 839-8333
SHARMA DENTAL GROUP
Dentist (General Practice)
2616 PAVILION PKWY STE 104
TRACY, CA 95304
San Joaquin County (831) 521-1356

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 D Park Mph Dds Dental Corporation's NPI number?

The NPI number for D Park Mph Dds Dental Corporation is 1609450006. It was assigned to this organization in the NPPES registry on May 11, 2021. The provider is doing business as Smile Dental Of Tracy.

Where is D Park Mph Dds Dental Corporation located?

D Park Mph Dds Dental Corporation is located at 2616 Pavilion Pkwy Ste 104, Tracy, CA 95304. The listed phone number is (209) 839-8333.

What is D Park Mph Dds Dental Corporation'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 D Park Mph Dds Dental Corporation was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.