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TAE H PARK DDS
NPI 1790870996
Dentist - General Practice in Fresno, CA

Active since October 04, 2006
1875 E ALLUVIAL AVE, SUITE 102, FRESNO, CA 93720(559) 325-0700(559) 240-0907 Get Directions Write a Review

NPPES record last updated: March 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tae H Park Dds NPPES

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

TAE H PARK DDS (NPI 1790870996) is an individual general practice provider in Fresno, California, licensed in California (48659) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1790870996
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTAE H PARKCredential: DDS
Location Address1875 E ALLUVIAL AVE, SUITE 102Fresno, CA 93720-3856
Mailing Address1875 E Alluvial Ave, Suite 102Fresno, CA 93720-3856 · (559) 325-0700 · Fax (559) 240-0907
Phone(559) 325-0700
Fax(559) 240-0907
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 27, 2009
✔ NPI 1790870996 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 · 48659
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.
1875 E ALLUVIAL AVE, Fresno, CA 93720
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Other Names 1

Other Name (5)Andy Tae H Park Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Tae Park's NPI number?

The NPI number for Tae Park is 1790870996. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Andy Tae H Park Dds.

Where is Tae Park located?

Tae Park practices at 1875 E Alluvial Ave Suite 102, Fresno, CA 93720. The listed phone number is (559) 325-0700.

What is Tae Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tae Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Tae Park 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 Tae Park was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.