DR. SUNGPIL PARK DDS
NPI 1902412620
Dentist - General Practice in Modesto, CA

Q: What is Sungpil Park's NPI number?

The NPI number for Sungpil Park is 1902412620. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Q: What is Sungpil Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sungpil Park was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 17, 2020

3025 MCHENRY AVE STE N, MODESTO, CA 95350(209) 527-3990 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Sungpil Park Dds NPPES

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

DR. SUNGPIL PARK DDS (NPI 1902412620) is an individual general practice provider in Modesto, California, licensed in California (105516) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1902412620

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUNGPIL PARKCredential: DDS

Location Address3025 MCHENRY AVE STE NModesto, CA 95350-1449

Mailing Address300 3rd St Apt 702San Francisco, CA 94107-1252 · (415) 517-1143

Phone(209) 527-3990

Sole ProprietorNo

Enumeration DateSeptember 17, 2020

NPPES CertifiedSeptember 14, 2020

✔ NPI 1902412620 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 · 105516

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.

3025 MCHENRY AVE STE N, Modesto, CA 95350

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOMANI DDS INC

Clinic/Center (Dental)

3025 MCHENRY AVE STE N
MODESTO, CA 95350

Stanislaus County (209) 527-3990

FEDERICO CACERES DDS INC.

Clinic/Center (Dental)

3025 MCHENRY AVE STE N
MODESTO, CA 95350

Stanislaus County (209) 232-6886

DR. BASHAR REYAD ELMOMANI

Dentist (General Practice)

3025 MCHENRY AVE STE N
MODESTO, CA 95350

Stanislaus County (209) 527-3990

RONNYS CAPOTE CABRERA DDS

Dentist (General Practice)

3025 MCHENRY AVE STE N
MODESTO, CA 95350

Stanislaus County (832) 925-1763

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 Sungpil Park's NPI number?

The NPI number for Sungpil Park is 1902412620. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Sungpil Park located?

Sungpil Park practices at 3025 Mchenry Ave Ste N, Modesto, CA 95350. The listed phone number is (209) 527-3990.

What is Sungpil Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Sungpil Park was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.