TOM S. PARK D.D.S.
NPI 1891961348
Dentist in San Jose, CA

Active since May 05, 2008
105 N JACKSON AVE, #102, SAN JOSE, CA 95116(408) 618-8112 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tom S. Park D.d.s. NPPES

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

TOM S. PARK D.D.S. (NPI 1891961348) is an individual dentist in San Jose, California, licensed in California (40385) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1891961348
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTOM S. PARKCredential: D.D.S.
Location Address105 N JACKSON AVE, #102San Jose, CA 95116-1913
Mailing Address105 N Jackson Ave, #102San Jose, CA 95116-1913 · (408) 618-8112
Sole ProprietorYes
Enumeration DateMay 5, 2008
Last NPPES UpdateJanuary 20, 2015
NPI 1891961348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 40385
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.

105 N JACKSON AVE, San Jose, CA 95116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891961348, enumerated as an "individual" on May 05, 2008.

The provider is located at 105 N JACKSON AVE #102 SAN JOSE, CA 95116 and the phone number is (408) 618-8112.

Dentist with taxonomy code 122300000X.