TRACY PARK D.D.S. A PROFESSIONAL CORPORATION
NPI 1710246798
Dentist in Ceres, CA

Active since May 10, 2012
2760 3RD STREET, SUITE A, CERES, CA 95307(209) 537-4427(209) 537-4437 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2021, Jul 30, 2021 (2 updates tracked since 2021).

About Tracy Park D.d.s. A Professional Corporation NPPES

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

TRACY PARK D.D.S. A PROFESSIONAL CORPORATION (NPI 1710246798) is a healthcare organization registered as a dentist in Ceres, California and active in the NPI registry since May 2012. The organization lists Tracy Sun Park, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1710246798
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTRACY PARK D.D.S. A PROFESSIONAL CORPORATION
Location Address2760 3RD STREET, SUITE ACeres, CA 95307-3220
Mailing Address2760 3rd Street, Suite ACeres, CA 95307-3220 · (209) 537-4427 · Fax (209) 537-4437
Fax(209) 537-4437
Organization SubpartNo
Authorized OfficialTracy Sun ParkDentist/owner · (209) 537-4427
Enumeration DateMay 10, 2012
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1710246798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 41769 (CA)
2760 3RD STREET, Ceres, CA 95307

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
2760 3RD STREET, SUITE A
CERES, CA 95307

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 Tracy Park D.D.S. A Professional Corporation's NPI number?

The NPI number for Tracy Park D.D.S. A Professional Corporation is 1710246798. It was assigned to this organization in the NPPES registry on May 10, 2012.

Where is Tracy Park D.D.S. A Professional Corporation located?

Tracy Park D.D.S. A Professional Corporation is located at 2760 3rd Street Suite A, Ceres, CA 95307. The listed phone number is (209) 537-4427.

What is Tracy Park D.D.S. A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Tracy Park D.D.S. A Professional Corporation accept?

Health plans from UnitedHealthcare list Tracy Park D.D.S. A Professional Corporation 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 Tracy Park D.D.S. A Professional Corporation was last updated on August 3, 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.