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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: August 23, 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
Phone(626) 405-0707
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
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Other Identifiers 2

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

Accepted Insurance

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

JULIA H.P LEE DDS
Dentist (General Practice)
742 E COLORADO BLVD
PASADENA, CA 91101
Los Angeles County (626) 405-0707

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 Phillip Park's NPI number?

The NPI number for Phillip Park is 1811917636. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Phillip Park located?

Phillip Park practices at 742 E Colorado Blvd, Pasadena, CA 91101. The listed phone number is (626) 405-0707.

What is Phillip Park's specialty?

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

What insurance does Phillip Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Phillip 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 Phillip Park was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.