Tracey Park, DDS
Dentist · Puyallup, WA
Practice location
702 S Hill Park Dr Ste 201Puyallup, WA 98373-1426
- Phone
- (855) 433-6825
NPI record
- NPI
- 1104306729
- Entity type
- Individual (Type 1)
- Enumeration date
- August 14, 2018
- Last updated
- November 7, 2023
- Certified
- November 7, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DE60879733 | WA |
Mailing address
6950 NE Campus WayHillsboro, OR 97124-5611
- Phone
- (855) 433-6825
Other practice locations (2)
- 181 S 333rd St Ste 100, Federal Way, WA 98003 · (855) 433-6825
- 510 Washington Ave N, Kent, WA 98032-4453 · (855) 433-6825
About Dr. Park
Tracey Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 702 S Hill Park Dr Ste 201, Puyallup, WA 98373-1426. The NPI number 1104306729 was assigned on August 14, 2018 and the record was last updated on November 7, 2023.
Dr. Park lists a license in the registry: #DE60879733 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tracey Park, DDS?
The NPI number is 1104306729.
What is the phone number of Dr. Park?
The phone number listed for the practice location is (855) 433-6825.
Where is Dr. Park located?
702 S Hill Park Dr Ste 201, Puyallup, WA 98373-1426.
What is the taxonomy code for Dr. Park?
The primary taxonomy code is 122300000X – Dentist.
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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