PETER PARK D.D.S.
NPI 1992181598
Dentist - Dentist Anesthesiologist in Covina, CA

Active since August 05, 2015
246 W COLLEGE ST, COVINA, CA 91723(626) 966-2222 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Park D.d.s. NPPES

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

PETER PARK D.D.S. (NPI 1992181598) is an individual dentist anesthesiologist in Covina, California, licensed in California (64710) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1992181598
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NamePETER PARKCredential: D.D.S.
Location Address246 W COLLEGE STCovina, CA 91723-1910
Mailing Address26061 Lawton AveLoma Linda, CA 92354-3836 · (423) 322-7394
Sole ProprietorNo
Enumeration DateAugust 5, 2015
NPI 1992181598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License Licensed in CA · 64710
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
246 W COLLEGE ST, Covina, CA 91723

Other Providers at the Same Location NPPES 6

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

Pharmacy (Community/Retail Pharmacy)
246 W COLLEGE ST, STE 100
COVINA, CA 91723
Dermatology (Procedural Dermatology)
246 W COLLEGE ST, 3RD FLOOR
COVINA, CA 91723
Dentist
246 W COLLEGE ST, SUITE 207
COVINA, CA 91723
Dermatology (Procedural Dermatology)
246 W COLLEGE ST, 3RD FLOOR
COVINA, CA 91723
Home Health
246 W COLLEGE ST, SUITE 202
COVINA, CA 91723
Clinic/Center (Ambulatory Surgical)
246 W COLLEGE ST, SUITE 200
COVINA, CA 91723

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 Peter Park's NPI number?

The NPI number for Peter Park is 1992181598. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Peter Park located?

Peter Park practices at 246 W College St, Covina, CA 91723. The listed phone number is (626) 966-2222.

What is Peter Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Peter Park was last updated on August 5, 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.