DREAM DENTAL GROUP
NPI 1962879387
Dentist - General Practice in Orange, CA

Q: What is Charles C. Park D.D.S. A Professional Corporation's specialty?

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

Active since September 02, 2015

1518 E. LINCOLN AVE., ORANGE, CA 92865(714) 998-8998(714) 998-0771 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dream Dental Group NPPES

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

DREAM DENTAL GROUP (NPI 1962879387) is a healthcare organization registered as a general practice in Orange, California and active in the NPI registry since September 2015. The organization lists Charles C. Park, President, as its authorized official.

NPPES Registry Identity

NPI1962879387

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCHARLES C. PARK D.D.S. A PROFESSIONAL CORPORATION

Location Address1518 E. LINCOLN AVE.Orange, CA 92865

Mailing Address1518 E. Lincoln Ave.Orange, CA 92865 · (714) 998-8998 · Fax (714) 998-0771

Phone(714) 998-8998

Fax(714) 998-0771

Organization SubpartNo

Authorized OfficialCharles C. ParkPresident · (714) 998-8998

Enumeration DateSeptember 2, 2015

✔ NPI 1962879387 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 · 50087

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.

1518 E. LINCOLN AVE., Orange, CA 92865

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Other Names 1

Doing Business AsDream Dental Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dream Dental Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dream Dental Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Park, D.D.S.

Oral Surgery

NPI 1891865499

1702 S MAIN ST
Santa Ana, CA 92707

(714) 972-2828

✔ PECOS7.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Charles C. Park D.D.S. A Professional Corporation's NPI number?

The NPI number for Charles C. Park D.D.S. A Professional Corporation is 1962879387. It was assigned to this organization in the NPPES registry on September 2, 2015. The provider is doing business as Dream Dental Group.

Where is Charles C. Park D.D.S. A Professional Corporation located?

Charles C. Park D.D.S. A Professional Corporation is located at 1518 E. Lincoln Ave., Orange, CA 92865. The listed phone number is (714) 998-8998.

What is Charles C. Park D.D.S. A Professional Corporation's specialty?

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

Is Charles C. Park D.D.S. A Professional Corporation enrolled in Medicare?

Yes. Charles C. Park D.D.S. A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles C. Park D.D.S. A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Charles C. Park D.D.S. A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charles C. Park D.D.S. A Professional Corporation was last updated on September 2, 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.