Heather Hana Park, DDS

General Practice Dentistry · La Quinta, CA

Individual Active NPI

NPI number 1053967794

Practice location

78595 Highway 111 Ste 300
La Quinta, CA 92253-2084
Phone
(760) 771-0300

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NPI record

NPI
1053967794
Entity type
Individual (Type 1)
Enumeration date
August 16, 2019
Last updated
August 16, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 104291 CA

Mailing address

43100 Palm Royale Dr Apt 426
La Quinta, CA 92253-7995
Phone
(909) 438-7610

About Dr. Park

Heather Hana Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 78595 Highway 111 Ste 300, La Quinta, CA 92253-2084. The NPI number 1053967794 was assigned on August 16, 2019 and the record was last updated on August 16, 2019.

Dr. Park lists a license in the registry: #104291 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Heather Hana Park, DDS?

The NPI number is 1053967794.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (760) 771-0300.

Where is Dr. Park located?

78595 Highway 111 Ste 300, La Quinta, CA 92253-2084.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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