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GH PARK DDS A DENTAL CORPORATION
NPI 1780192005
Clinic/Center - Dental in Fullerton, CA

Active since January 22, 2018
1031 ROSECRANS AVE STE 104, FULLERTON, CA 92833(714) 530-1948(714) 530-1186 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gh Park Dds A Dental Corporation NPPES

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

GH PARK DDS A DENTAL CORPORATION (NPI 1780192005) is a healthcare organization registered as a dental in Fullerton, California and active in the NPI registry since January 2018. The organization lists Gene Park, President, as its authorized official.

NPPES Registry Identity

NPI1780192005
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGH PARK DDS A DENTAL CORPORATION
Location Address1031 ROSECRANS AVE STE 104Fullerton, CA 92833-1946
Mailing Address1031 Rosecrans Ave Ste 104Fullerton, CA 92833-1946 · (714) 530-1948 · Fax (310) 530-1186
Phone(714) 530-1948
Fax(714) 530-1186
Organization SubpartNo
Authorized OfficialGene ParkPresident · (310) 780-1296
Enumeration DateJanuary 22, 2018
✔ NPI 1780192005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CA · 49631
1031 ROSECRANS AVE STE 104, Fullerton, CA 92833
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Other Providers at the Same Location NPPES

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

GENE HYOUNGLIN PARK D.D.S., M.S.
Dentist (Periodontics)
1031 ROSECRANS AVE STE 104
FULLERTON, CA 92833
Orange County (714) 519-3932

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 Gh Park Dds A Dental Corporation's NPI number?

The NPI number for Gh Park Dds A Dental Corporation is 1780192005. It was assigned to this organization in the NPPES registry on January 22, 2018.

Where is Gh Park Dds A Dental Corporation located?

Gh Park Dds A Dental Corporation is located at 1031 Rosecrans Ave Ste 104, Fullerton, CA 92833. The listed phone number is (714) 530-1948.

What is Gh Park Dds A Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Gh Park Dds A Dental Corporation was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.