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

Q: What is Tom Park's NPI number?

The NPI number for Tom Park is 1891961348. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Q: What is Tom Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Tom Park was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

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: August 16, 2026.

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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

Phone(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

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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 Tom Park's NPI number?

The NPI number for Tom Park is 1891961348. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Tom Park located?

Tom Park practices at 105 N Jackson Ave #102, San Jose, CA 95116. The listed phone number is (408) 618-8112.

What is Tom Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Tom Park was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.