PHILLIP S.H PARK DDS
NPI 1811917636
Dentist - General Practice in Pasadena, CA

Active since July 21, 2006
742 E COLORADO BLVD, PASADENA, CA 91101(626) 405-0707(626) 405-8876 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phillip S.h Park Dds NPPES

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

PHILLIP S.H PARK DDS (NPI 1811917636) is an individual general practice provider in Pasadena, California, licensed in California (42593) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1811917636
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePHILLIP S.H PARKCredential: DDS
Location Address742 E COLORADO BLVDPasadena, CA 91101-2105
Mailing Address742 E Colorado BlvdPasadena, CA 91101-2105 · (626) 405-0707 · Fax (626) 795-2731
Fax(626) 405-8876
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateMay 3, 2013
NPI 1811917636 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 · 42593
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.

742 E COLORADO BLVD, Pasadena, CA 91101

Other Identifiers 2

OtherB42593-01CA · State Goverment Healthy F
MedicaidG91415-01CA

Accepted Insurance

Reviews for PHILLIP S.H PARK DDS

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
742 E COLORADO BLVD
PASADENA, CA 91101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811917636, enumerated as an "individual" on July 21, 2006.

The provider is located at 742 E COLORADO BLVD PASADENA, CA 91101 and the phone number is (626) 405-0707.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.